Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Winchester › NPI 1750452520
Physician

Holder, Terry

Holder, Terry was paid $304K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoHOLDER, TERRY
WINCHESTER, TN 37398
33aNPI1750452520assigned 11/13/2006
28Total paid$304K
24GClaims12,141
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#138 of 754
Median peer was paid$34K
This provider vs. median9.0×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,548$34K
20192,029$45K
20201,996$40K
20212,418$54K
20221,872$48K
20231,483$50K
2024incomplete795$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 2,325 1,941 $84K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24% 1,312 1,174 $74K
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 21% 1,041 937 $63K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 557 521 $36K
90472 Immunization administration, each additional vaccine (list separately) 7.3% 1,131 1,022 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.5% 1,473 1,335 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.0% 44 44 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 73 69 $2K
96161 <1% 85 77 $2K
96127 <1% 186 173 $695.43
81002 <1% 265 161 $576.14
36415 Collection of venous blood by venipuncture <1% 166 139 $378.24
10 more codes
87210 <1% 38 $86.82
90670 0% 522 $0.00
0502F 0% 2,169 $0.00
90648 0% 406 $0.00
90662 0% 13 $0.00
90680 0% 62 $0.00
90723 0% 187 $0.00
90697 0% 56 $0.00
90686 0% 18 $0.00
90688 0% 12 $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.