Virgin, Frank
Virgin, Frank was paid $266K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 46% of everything it billed.
33Billing provider infoVIRGIN, FRANK
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1821207002assigned 05/22/2007
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$266K
24GClaims2,070
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Tennessee
Rank by total paid#8 of 74
Median peer was paid$23K
This provider vs. median12×
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 | 890 | $108K | |
| 2019 | 690 | $86K | |
| 2020 | 490 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 46% | 403 | 386 | $122K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 27% | 356 | 332 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,045 | 971 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 81 | 77 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 154 | 144 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 31 | 27 | $4K |
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.