Hensley, Erica

Hensley, Erica was paid $237K by Medicaid between Oct 2018 and Dec 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoHENSLEY, ERICA
LAWRENCEBURG, TN 38464

33aNPI1528254000assigned 09/19/2007

33bProvider typeMedical Physician Assistant

28Total paid$237K

24GClaims7,695

24DCodes billed16

24AFirst – last monthOct 2018 – Dec 2020

Compared with peers

Next to other Medical Physician Assistant providers in Tennessee

Rank by total paid#7 of 62

Median peer was paid$13K

This provider vs. median18×

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	684	$22K
2019	4,181	$132K
2020	2,830	$83K

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	45%	3,709	2,759	$106K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	774	699	$38K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	15%	548	468	$35K
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	12%	717	612	$29K
20611		6.7%	476	347	$16K
73110		1.5%	254	176	$4K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	<1%	22	14	$2K
73030		<1%	132	104	$1K
73564		<1%	93	66	$1K
73630		<1%	87	69	$1K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	15	14	$1K
73610		<1%	83	60	$1K

4 more codes

73130		<1%	82	$926.85
73562		<1%	51	$724.09
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	563	$99.84
99024		0%	89	$0.00

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.