Masingale Family Practice LLC

Masingale Family Practice LLC was paid $3.03M by Medicaid between Jan 2018 and Jan 2024, across 65 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 16% of everything it billed.

33Billing provider infoMASINGALE FAMILY PRACTICE LLC
ENGLEWOOD, TN 37329

33aNPI1649538109assigned 05/02/2012

33bProvider typeFamily Nurse Practitioner

28Total paid$3.03M

24GClaims118,373

24DCodes billed65

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#5 of 687

Median peer was paid$15K

This provider vs. median208×

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	18,412	$416K
2019	22,643	$703K
2020	17,601	$425K
2021	17,187	$377K
2022	18,499	$580K
2023	23,176	$514K
2024incomplete	855	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	16%	6,426	930	$498K
99483	Prolong outpt/office vis	12%	3,308	3,071	$358K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	13,624	11,247	$307K
99493		9.0%	4,861	4,401	$274K
96132		5.1%	5,018	4,326	$156K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	5.0%	1,355	761	$152K
95923		4.9%	3,497	2,692	$149K
99354		4.2%	2,843	2,530	$127K
99402		3.8%	3,767	3,273	$115K
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	3.2%	2,878	2,497	$97K
93922		2.8%	3,241	2,513	$86K
99494		2.4%	2,636	2,409	$73K

53 more codes

90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1.8%	4,316	$56K
95943		1.8%	2,264	$56K
94060		1.6%	1,855	$49K
96160		1.6%	3,935	$47K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.5%	742	$45K
95921		1.3%	1,275	$40K
99492		<1%	451	$28K
99425		<1%	1,353	$28K
90792	Psychiatric diagnostic evaluation with medical services	<1%	339	$25K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	431	$24K
96138		<1%	3,930	$24K
94010		<1%	1,412	$23K
99454		<1%	2,233	$22K
99457		<1%	2,289	$19K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,215	$18K
99458		<1%	2,183	$15K
99497		<1%	828	$14K
99406		<1%	3,324	$14K
99358	Prolong nursin fac eval 15m	<1%	317	$12K
99490	Ccm add 20min	<1%	3,927	$10K
99424		<1%	1,367	$9K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	929	$7K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	<1%	1,654	$7K
99487	Ccm add 20min	<1%	1,603	$7K
96119		<1%	444	$6K
99215	Doctor's office visit, returning patient (complex)	<1%	97	$6K
96102		<1%	445	$4K
80305		<1%	446	$3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	586	$3K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	137	$3K
96136		<1%	3,273	$3K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	281	$2K
99489	Ccm add 20min	<1%	519	$1K
1159F		<1%	1,757	$1K
3008F		<1%	2,895	$1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	464	$886.27
95117		<1%	67	$885.89
G0444	Annual depression screening, 5 to 15 minutes	<1%	1,892	$849.87
92548		<1%	171	$833.39
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	1,581	$753.94
93000		<1%	73	$591.55
96130		<1%	419	$420.48
94760		<1%	2,651	$324.78
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	<1%	813	$305.73
99453		<1%	95	$206.01
96127		<1%	1,018	$190.05
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$186.03
97802		<1%	424	$144.15
99496		<1%	18	$105.00
94016		<1%	39	$63.60
99441		0%	32	$0.00
99484		0%	70	$0.00
G0247	Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails	0%	27	$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.

From NPPES

Who's on the registration

Authorized officialMASINGALE, MONICA (NP)