Hale, Anthony

Hale, Anthony was paid $223K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoHALE, ANTHONY
MILWAUKEE, WI 53222

33aNPI1780951996assigned 11/17/2011

33bProvider typeFamily Nurse Practitioner

28Total paid$223K

24GClaims12,819

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Wisconsin

Rank by total paid#5 of 180

Median peer was paid$2K

This provider vs. median98×

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	6,913	$116K
2019	3,749	$58K
2020	535	$11K
2021	404	$10K
2022	454	$10K
2023	560	$11K
2024incomplete	204	$7K

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	36%	3,225	2,309	$80K
Q3014	Telehealth originating site facility fee	26%	5,626	3,900	$58K
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	24%	1,617	1,186	$54K
99205	Prolong outpt/office vis	7.5%	220	173	$17K
80305		4.1%	1,408	993	$9K
H0049	Alcohol and/or drug screening	1.4%	119	102	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	18	18	$1K
90836		<1%	64	33	$493.20
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	39	33	$482.72
99406		<1%	439	213	$404.97
96127		<1%	44	37	$95.76

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.