Carlton, Stacey

Carlton, Stacey was paid $10K by Medicaid between May 2018 and Aug 2019, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 63% of everything it billed.

33Billing provider infoCARLTON, STACEY
CROSSVILLE, TN 38555

33aNPI1619976941assigned 07/19/2005

33bProvider typeFamily Medicine Physician

28Total paid$10K

24GClaims222

24DCodes billed3

24AFirst – last monthMay 2018 – Aug 2019

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#490 of 754

Median peer was paid$34K

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	131	$6K
2019	91	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	63%	140	132	$6K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	39	38	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	43	42	$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.