Adams, Mark

Adams, Mark was paid $136K by Medicaid between Jan 2018 and Nov 2020, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 43% of everything it billed.

33Billing provider infoADAMS, MARK
NASHVILLE, TN 37232

33aNPI1700960812assigned 10/25/2006

33bProvider typeUrology Physician

28Total paid$136K

24GClaims1,957

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Urology Physician providers in Tennessee

Rank by total paid#10 of 53

Median peer was paid$12K

This provider vs. median12×

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	817	$56K
2019	839	$61K
2020	301	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	43%	411	392	$59K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	23%	366	344	$31K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	16%	690	656	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	408	385	$22K
76775		<1%	82	77	$1K

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.