Nesmith, Terry
Nesmith, Terry was paid $1.41M by Medicaid between Jun 2021 and Dec 2024, across 13 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 76% of everything it billed.
33Billing provider infoNESMITH, TERRY
CRESSON, PA 16630
CRESSON, PA 16630
33aNPI1780026385assigned 07/24/2013
33bProvider typeRegistered Nurse
28Total paid$1.41M
24GClaims12,072
24DCodes billed13
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Registered Nurse providers in Pennsylvania
Rank by total paid#5 of 137
Median peer was paid$12K
This provider vs. median118×
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 | |
|---|---|---|---|
| 2021 | 787 | $72K | |
| 2022 | 2,741 | $356K | |
| 2023 | 3,959 | $488K | |
| 2024incomplete | 4,585 | $493K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 76% | 3,688 | 3,688 | $1.07M |
| 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 | 19% | 5,160 | 3,947 | $272K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 1,336 | 1,152 | $50K |
| 80305 | 1.3% | 1,663 | 1,238 | $19K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | 13 | $181.61 |
| 4322F | 0% | 18 | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 55 | 46 | $0.00 |
| G9923 | Safety concerns screen provided and negative | 0% | 17 | 14 | $0.00 |
| G9916 | Functional status performed once in the last 12 months | 0% | 37 | 31 | $0.00 |
| G9512 | Individual had a pdc of 0.8 or greater | 0% | 17 | 14 | $0.00 |
| 1123F | 0% | 37 | 31 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 17 | 14 | $0.00 |
1 more codes
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 14 | $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.