Physician
Phillips, Heather
Phillips, Heather was paid $12K by Medicaid between Jan 2018 and Aug 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoPHILLIPS, HEATHER
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1801007596assigned 05/24/2007
33bProvider typePediatrics Physician
28Total paid$12K
24GClaims444
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#265 of 333
Median peer was paid$139K
This provider vs. median0.1×
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 | 88 | $3K | |
| 2019 | 98 | $3K | |
| 2020 | 258 | $5K |
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 | 61% | 171 | 144 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 27 | 26 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14% | 104 | 94 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.2% | 30 | 28 | $482.35 |
| 99401 | 2.9% | 28 | 12 | $339.31 | |
| 90670 | 2.3% | 14 | 14 | $269.07 | |
| 3008F | 1.0% | 29 | 13 | $120.00 | |
| 90648 | <1% | 13 | 13 | $14.70 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 28 | 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.