NP / PA
Avalon Medical Group
Avalon Medical Group was paid $18K by Medicaid between Jan 2018 and Jul 2024, across 20 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 67% of everything it billed.
33Billing provider infoAVALON MEDICAL GROUP
PENSACOLA, FL 32503
PENSACOLA, FL 32503
33aNPI1558531905assigned 03/01/2008
33bProvider typeNurse Practitioner
28Total paid$18K
24GClaims38,915
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Nurse Practitioner providers in Florida
Rank by total paid#53 of 146
Median peer was paid$4K
This provider vs. median4.0×
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 | 1,579 | $0.00 | |
| 2019 | 1,726 | $47.34 | |
| 2020 | 5,698 | $556.30 | |
| 2021 | 11,550 | $6K | |
| 2022 | 8,429 | $4K | |
| 2023 | 5,279 | $4K | |
| 2024incomplete | 4,654 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 67% | 3,257 | 1,334 | $12K |
| 99310 | Prolong nursin fac eval 15m | 17% | 308 | 114 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 16% | 749 | 354 | $3K |
| 1123F | 0% | 3,003 | 1,479 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 962 | 454 | $0.00 |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 589 | 170 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 4,063 | 1,683 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 3,599 | 1,241 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 62 | 14 | $0.00 |
| 99318 | 0% | 38 | 24 | $0.00 | |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | 0% | 31 | 14 | $0.00 |
| 1100F | 0% | 3,859 | 1,603 | $0.00 |
8 more codes
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 5,122 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 2,547 | $0.00 |
| 0518F | 0% | 3,012 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,175 | $0.00 |
| 3288F | 0% | 1,544 | $0.00 | |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 921 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 532 | $0.00 |
| 4040F | 0% | 1,542 | $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.
From NPPES
Who's on the registration
Authorized officialSTANLEY, KATHERINE (AUTHORIZED AGENT)
| Provider | Location | Paid |
|---|---|---|
| Katherine R Stanley | Winston Salem, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.