Gates, Caroline

Gates, Caroline was paid $164K by Medicaid between Aug 2018 and Dec 2020, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.

33Billing provider infoGATES, CAROLINE
HIXSON, TN 37343

33aNPI1699047894assigned 02/02/2012

33bProvider typeFamily Nurse Practitioner

28Total paid$164K

24GClaims6,320

24DCodes billed22

24AFirst – last monthAug 2018 – Dec 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#98 of 687

Median peer was paid$15K

This provider vs. median11×

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	448	$18K
2019	2,635	$80K
2020	3,237	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	83%	3,059	2,475	$137K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.2%	134	101	$10K
96160		1.8%	253	209	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.3%	41	36	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.2%	30	25	$2K
99497		1.1%	53	46	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	58	45	$2K
99173		<1%	311	252	$1K
93000		<1%	112	99	$1K
92551		<1%	305	253	$1K
96127		<1%	166	141	$920.30
81003		<1%	625	523	$803.07

10 more codes

3008F	<1%	547	$712.50
3074F	<1%	217	$260.00
1170F	<1%	89	$230.00
1125F	<1%	89	$200.00
3078F	<1%	95	$140.00
99406	<1%	12	$79.07
3079F	<1%	67	$60.00
1126F	<1%	28	$40.00
3080F	<1%	13	$32.49
3050F	0%	16	$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.