Duncan, Callie

Duncan, Callie was paid $26K by Medicaid between Mar 2023 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoDUNCAN, CALLIE
CROSSVILLE, TN 38555

33aNPI1760909816assigned 08/29/2017

33bProvider typePediatric Nurse Practitioner

28Total paid$26K

24GClaims706

24DCodes billed6

24AFirst – last monthMar 2023 – Dec 2024

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Tennessee

Rank by total paid#48 of 70

Median peer was paid$60K

This provider vs. median0.4×

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
2023	449	$14K
2024incomplete	257	$12K

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	89%	462	417	$23K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.9%	14	13	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	2.7%	13	12	$687.09
96160		2.2%	132	112	$556.23
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.8%	70	62	$474.54
96127		<1%	15	12	$80.70

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.