NP / PA
Jones Goodwin, Mary
Jones Goodwin, Mary was paid $339K by Medicaid between Jan 2018 and Dec 2020, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoJONES GOODWIN, MARY
LEXINGTON, TN 38351
LEXINGTON, TN 38351
33aNPI1730343377assigned 07/14/2008
33bProvider typePediatric Nurse Practitioner
28Total paid$339K
24GClaims10,227
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Tennessee
Rank by total paid#12 of 70
Median peer was paid$60K
This provider vs. median5.6×
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 | 3,617 | $97K | |
| 2019 | 4,464 | $147K | |
| 2020 | 2,146 | $95K |
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 | 42% | 2,611 | 2,134 | $142K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 1,080 | 942 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 446 | 396 | $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 | 7.9% | 747 | 662 | $27K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.3% | 680 | 591 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 443 | 393 | $25K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.1% | 197 | 178 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 917 | 731 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 364 | 275 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 588 | 266 | $8K |
| 87631 | 1.2% | 35 | 25 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 43 | 38 | $2K |
18 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 63 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 63 | $880.73 |
| 90461 | <1% | 709 | $569.24 | |
| 87807 | <1% | 44 | $469.66 | |
| 90670 | <1% | 364 | $461.00 | |
| 83655 | <1% | 14 | $218.62 | |
| 36416 | <1% | 52 | $117.25 | |
| 99173 | <1% | 20 | $86.12 | |
| 90686 | <1% | 124 | $66.77 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 21 | $47.40 |
| 86756 | <1% | 62 | $11.60 | |
| 90685 | 0% | 44 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90680 | 0% | 110 | $0.00 | |
| 90698 | 0% | 203 | $0.00 | |
| 3008F | 0% | 88 | $0.00 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 49 | $0.00 |
| 90744 | 0% | 33 | $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.