Hereford, John

Hereford, John was paid $12K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 87% of everything it billed.

33Billing provider infoHEREFORD, JOHN
KINGSPORT, TN 37660

33aNPI1619931557assigned 04/17/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$12K

24GClaims1,108

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Tennessee

Rank by total paid#109 of 176

Median peer was paid$39K

This provider vs. median0.3×

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
2018	582	$7K
2019	526	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	87%	429	364	$10K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	8.1%	19	15	$963.10
81025		3.3%	83	66	$395.71
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.3%	16	12	$159.46
0502F		0%	561	408	$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.