Vaughan, William

Vaughan, William was paid $7K by Medicaid between Feb 2018 and Aug 2020, across 2 billing codes. Its largest line is 99243, — 70% of everything it billed.

33Billing provider infoVAUGHAN, WILLIAM
KNOXVILLE, TN 37916

33aNPI1588645774assigned 11/07/2005

33bProvider typePediatric Surgery Physician

28Total paid$7K

24GClaims113

24DCodes billed2

24AFirst – last monthFeb 2018 – Aug 2020

Compared with peers

Next to other Pediatric Surgery Physician providers in Tennessee

Rank by total paid#4 of 5

Median peer was paid$15K

This provider vs. median0.5×

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	46	$4K
2019	42	$2K
2020	25	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		70%	59	54	$5K
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%	54	51	$2K

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.