Hayes Endocrine & Diabetes Center, PC
Hayes Endocrine & Diabetes Center, PC was paid $224K by Medicaid between Jan 2018 and Nov 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoHAYES ENDOCRINE & DIABETES CENTER, PC
NASHVILLE, TN 37209
NASHVILLE, TN 37209
33aNPI1528244712assigned 01/17/2008
33bProvider typeSpecialist
28Total paid$224K
24GClaims15,997
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#77 of 252
Median peer was paid$57K
This provider vs. median3.9×
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 | 4,066 | $65K | |
| 2019 | 4,662 | $54K | |
| 2020 | 2,866 | $49K | |
| 2021 | 4,403 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 79% | 7,939 | 5,493 | $177K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,337 | 1,030 | $30K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 360 | 191 | $9K |
| 82948 | 1.4% | 3,924 | 2,697 | $3K | |
| 95251 | <1% | 228 | 161 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 51 | 27 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $724.60 |
| 82962 | <1% | 2,128 | 1,331 | $583.41 | |
| 99441 | <1% | 17 | 12 | $155.77 |
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.
From NPPES
Who's on the registration
Authorized officialHAYES, ANDREA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Direct Therapy, S&P | Pomona, CA | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.