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
NASHVILLE, TN 37232
33aNPI1700978111assigned 09/30/2006
33bProvider typePediatric Otolaryngology Physician
28Total paid$278K
24GClaims1,787
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2020
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 | 677 | $103K | |
| 2019 | 783 | $138K | |
| 2020 | 327 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.