Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Werkhaven, Jay

Werkhaven, Jay was paid $278K by Medicaid between Jan 2018 and Oct 2020, across 6 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 36% of everything it billed.

33Billing provider infoWERKHAVEN, JAY
NASHVILLE, TN 37232
33aNPI1700978111assigned 09/30/2006
28Total paid$278K
24GClaims1,787
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2020
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018677$103K
2019783$138K
2020327$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
42820 Tonsillectomy and adenoidectomy; younger than age 12 36% 317 306 $100K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 32% 379 366 $88K
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 16% 578 543 $46K
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 9.6% 190 175 $27K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 274 265 $14K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 49 44 $4K

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.