Hughes, Mark

Hughes, Mark was paid $255K by Medicaid between Jun 2018 and Apr 2022, across 7 billing codes. Its largest line is 99460, — 27% of everything it billed.

33Billing provider infoHUGHES, MARK
PLEASANT VIEW, TN 37146

33aNPI1740246446assigned 04/22/2006

33bProvider typePediatrics Physician

28Total paid$255K

24GClaims5,619

24DCodes billed7

24AFirst – last monthJun 2018 – Apr 2022

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#139 of 333

Median peer was paid$139K

This provider vs. median1.8×

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	713	$29K
2019	2,673	$102K
2020	1,935	$109K
2021	154	$7K
2022	144	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99460		27%	1,531	1,341	$69K
99238	Hospital discharge day management, 30 minutes or less	27%	1,598	1,381	$68K
54150		17%	413	352	$42K
99462		12%	1,364	957	$30K
99464		9.5%	585	474	$24K
99468		6.5%	29	24	$16K
99239	Hospital discharge day management, more than 30 minutes	1.9%	99	74	$5K

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.