Gilbert, Brenda

Gilbert, Brenda was paid $212K by Medicaid between Jan 2018 and Dec 2020, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoGILBERT, BRENDA
CLEVELAND, TN 37312

33aNPI1811127137assigned 07/21/2009

33bProvider typeFamily Nurse Practitioner

28Total paid$212K

24GClaims10,003

24DCodes billed32

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#78 of 687

Median peer was paid$15K

This provider vs. median14×

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	3,279	$75K
2019	3,583	$76K
2020	3,141	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	82%	4,475	3,731	$173K
99497		4.3%	281	244	$9K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.6%	121	98	$8K
96160		2.5%	484	391	$5K
93000		2.0%	400	345	$4K
99406		1.0%	384	335	$2K
99173		<1%	481	404	$2K
92551		<1%	472	400	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	28	28	$1K
81003		<1%	595	501	$671.39
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	49	42	$583.03
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%	13	12	$573.17

20 more codes

3008F		<1%	643	$502.26
90688		<1%	53	$463.39
90686		<1%	33	$365.04
96127		<1%	95	$297.48
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	16	$272.18
1159F		<1%	238	$230.00
1170F		<1%	251	$220.00
1160F		<1%	239	$220.00
3074F		<1%	162	$160.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	43	$159.78
3078F		<1%	112	$100.00
3079F		<1%	89	$73.53
94760		<1%	13	$62.32
3044F		<1%	66	$40.00
3077F		<1%	32	$20.00
36415	Collection of venous blood by venipuncture	<1%	12	$15.31
3048F		0%	68	$0.00
3075F		0%	14	$0.00
G0008	Administration of influenza virus vaccine	0%	27	$0.00
3050F		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.