Wilson, Darlene

Wilson, Darlene was paid $140K by Medicaid between Jan 2018 and Aug 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoWILSON, DARLENE
BOONEVILLE, KY 41314

33aNPI1528160066assigned 09/04/2006

33bProvider typeProfessional Counselor

28Total paid$140K

24GClaims7,347

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Professional Counselor providers in Kentucky

Rank by total paid#123 of 255

Median peer was paid$129K

This provider vs. median1.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	7,243	$137K
2019	23	$572.46
2020	81	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	70%	4,992	2,045	$98K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	21%	1,900	941	$29K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.5%	219	169	$9K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.0%	102	86	$3K
90756		<1%	38	34	$482.93
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	41	37	$354.90
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	19	15	$205.33
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	23	17	$134.00
99406		<1%	13	12	$32.26

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.