NP / PA
Holmes, Michael
Holmes, Michael was paid $170K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoHOLMES, MICHAEL
HARRIMAN, TN 37748
HARRIMAN, TN 37748
33aNPI1760544621assigned 12/15/2006
33bProvider typePrimary Care Nurse Practitioner
28Total paid$170K
24GClaims10,815
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Nurse Practitioner providers in Tennessee
Rank by total paid#11 of 31
Median peer was paid$35K
This provider vs. median4.8×
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 | 1,372 | $27K | |
| 2019 | 1,950 | $27K | |
| 2020 | 1,518 | $23K | |
| 2021 | 1,738 | $26K | |
| 2022 | 1,941 | $29K | |
| 2023 | 1,881 | $27K | |
| 2024incomplete | 415 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 5,505 | 4,918 | $96K |
| 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 | 23% | 2,145 | 2,042 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 1,833 | 1,703 | $28K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.3% | 132 | 126 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 73 | 69 | $2K |
| 90756 | <1% | 225 | 219 | $2K | |
| 99497 | <1% | 63 | 60 | $855.82 | |
| G0008 | Administration of influenza virus vaccine | <1% | 227 | 221 | $704.14 |
| 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 | <1% | 18 | 17 | $469.02 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 14 | $411.72 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | 16 | $163.87 |
| 96160 | <1% | 56 | 54 | $31.85 |
8 more codes
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.