NP / PA
Montgomery, Heather
Montgomery, Heather was paid $144K by Medicaid between Jan 2018 and Nov 2019, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoMONTGOMERY, HEATHER
CHATTANOOGA, TN 37406
CHATTANOOGA, TN 37406
33aNPI1629203310assigned 05/25/2009
33bProvider typeFamily Nurse Practitioner
28Total paid$144K
24GClaims10,021
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#119 of 687
Median peer was paid$15K
This provider vs. median9.9×
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 | 9,267 | $131K | |
| 2019 | 754 | $14K |
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 | 44% | 1,693 | 1,330 | $63K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 744 | 644 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 428 | 244 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.5% | 271 | 228 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.8% | 717 | 619 | $4K |
| 94760 | 2.7% | 2,469 | 1,898 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 42 | 36 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 43 | 40 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 167 | 130 | $2K |
| 92551 | 1.2% | 288 | 245 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 158 | 135 | $1K |
| 81002 | <1% | 555 | 472 | $1K |
15 more codes
| 96127 | <1% | 216 | $1K | |
| 99173 | <1% | 238 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $884.75 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 55 | $832.98 |
| 3008F | <1% | 810 | $780.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 501 | $721.96 |
| 36416 | <1% | 331 | $493.67 | |
| 90688 | <1% | 51 | $291.98 | |
| 1160F | <1% | 47 | $250.00 | |
| 1159F | <1% | 48 | $250.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $128.40 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $36.86 |
| 90734 | 0% | 16 | $0.00 | |
| 99000 | 0% | 68 | $0.00 | |
| 90620 | 0% | 20 | $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.