Middleton, Lori

Middleton, Lori was paid $21K by Medicaid between May 2019 and Dec 2020, across 9 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 50% of everything it billed.

33Billing provider infoMIDDLETON, LORI
HENDERSONVILLE, TN 37075

33aNPI1780631945assigned 05/31/2006

33bProvider typeNurse Practitioner

28Total paid$21K

24GClaims3,630

24DCodes billed9

24AFirst – last monthMay 2019 – Dec 2020

Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#98 of 212

Median peer was paid$17K

This provider vs. median1.3×

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
2019	1,684	$11K
2020	1,946	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	50%	917	768	$11K
99308	Subsequent nursing facility care, per day, straightforward	31%	917	844	$7K
90792	Psychiatric diagnostic evaluation with medical services	19%	214	185	$4K
1123F		0%	135	132	$0.00
1036F		0%	13	13	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	13	13	$0.00
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	0%	132	128	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,275	1,117	$0.00
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	14	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.