Algea, William

Algea, William was paid $463K by Medicaid between Jan 2018 and Dec 2020, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoALGEA, WILLIAM
MILLINGTON, TN 38053

33aNPI1649447871assigned 05/15/2008

33bProvider typePediatrics Physician

28Total paid$463K

24GClaims21,966

24DCodes billed39

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#109 of 333

Median peer was paid$139K

This provider vs. median3.3×

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	7,574	$156K
2019	8,545	$183K
2020	5,847	$124K

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	29%	3,208	2,855	$134K
90460	Immunization administration through 18 years of age via any route, first or only component	21%	2,364	2,015	$99K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	17%	1,283	1,151	$77K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	901	769	$60K
99381		3.1%	216	197	$14K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.4%	462	405	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.3%	407	334	$10K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.2%	152	125	$10K
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	1.9%	153	125	$9K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	563	523	$7K
96127		<1%	1,179	925	$4K
3008F		<1%	1,002	831	$3K

27 more codes

96161		<1%	419	$3K
90670		<1%	1,030	$3K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	409	$2K
92551		<1%	349	$2K
99173		<1%	487	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	22	$2K
83655		<1%	152	$2K
96160		<1%	206	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	136	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	54	$1K
90461		<1%	1,461	$891.97
90681		<1%	479	$805.15
90686		<1%	1,433	$803.19
36416		<1%	507	$514.30
90723		<1%	437	$418.68
90716		<1%	110	$344.34
94760		<1%	98	$236.78
90633		<1%	336	$215.85
90707		<1%	139	$190.00
90648		<1%	759	$152.88
90698		<1%	69	$127.31
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	270	$20.39
90700		0%	13	$0.00
90685		0%	73	$0.00
99000		0%	589	$0.00
90651		0%	27	$0.00
90696		0%	12	$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.