NP / PA
Bailey, Marcinia
Bailey, Marcinia was paid $145K by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoBAILEY, MARCINIA
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
33aNPI1548673155assigned 06/11/2014
33bProvider typeFamily Nurse Practitioner
28Total paid$145K
24GClaims4,050
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#99 of 424
Median peer was paid$19K
This provider vs. median7.7×
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 | 778 | $30K | |
| 2019 | 654 | $24K | |
| 2020 | 555 | $22K | |
| 2021 | 493 | $18K | |
| 2022 | 618 | $17K | |
| 2023 | 497 | $17K | |
| 2024incomplete | 455 | $17K |
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 | 91% | 3,809 | 3,269 | $131K |
| 99443 | 9.3% | 241 | 204 | $13K |
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.