Stapleton, Macy

Stapleton, Macy was paid $6K by Medicaid between Sep 2020 and Sep 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoSTAPLETON, MACY
HAMPTON, VA 23666

33aNPI1538442694assigned 09/26/2011

33bProvider typePediatric Nurse Practitioner

28Total paid$6K

24GClaims196

24DCodes billed4

24AFirst – last monthSep 2020 – Sep 2021

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Virginia

Rank by total paid#34 of 74

Median peer was paid$5K

This provider vs. median1.3×

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
2020	85	$1K
2021	111	$5K

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	90%	96	90	$5K
92551		6.4%	43	43	$385.10
90686		2.4%	14	14	$144.60
99173		1.1%	43	43	$66.69

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.