Marlow, Amy

Marlow, Amy was paid $354K by Medicaid between Jan 2018 and Jan 2020, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoMARLOW, AMY
KINGSPORT, TN 37660

33aNPI1538162359assigned 05/24/2005

33bProvider typePediatrics Physician

28Total paid$354K

24GClaims15,493

24DCodes billed31

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#128 of 333

Median peer was paid$139K

This provider vs. median2.5×

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	7,073	$163K
2019	7,884	$177K
2020	536	$14K

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	30%	2,685	2,123	$106K
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	17%	941	829	$59K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	2,835	1,127	$50K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	612	543	$41K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	680	567	$38K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.4%	292	242	$19K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.7%	1,088	943	$17K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.4%	377	187	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.3%	68	56	$5K
96161		1.1%	308	256	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	291	245	$3K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	315	250	$2K

19 more codes

99173		<1%	281	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	119	$1K
90670		<1%	486	$987.47
90651		<1%	32	$578.44
87807		<1%	27	$310.12
90461		<1%	2,266	$249.36
96127		<1%	33	$212.47
90686		<1%	538	$176.76
90716		<1%	33	$162.22
90633		<1%	49	$142.01
36416		<1%	74	$135.38
36415	Collection of venous blood by venipuncture	<1%	33	$58.44
90707		<1%	48	$45.65
90647		<1%	228	$22.58
90723		<1%	241	$22.55
90680		<1%	213	$22.55
99000		0%	268	$0.00
90685		0%	16	$0.00
90734		0%	16	$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.