Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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England, Russell

England, Russell was paid $175K by Medicaid between Mar 2019 and Mar 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoENGLAND, RUSSELL
GLASGOW, KY 42141
33aNPI1821413022assigned 02/25/2014
33bProvider typeNurse Practitioner
28Total paid$175K
24GClaims6,922
24DCodes billed14
24AFirst – last monthMar 2019 – Mar 2023
Compared with peers

Next to other Nurse Practitioner providers in Kentucky

Rank by total paid#101 of 260
Median peer was paid$89K
This provider vs. median2.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20192,160$53K
20202,246$57K
2021339$9K
20221,933$50K
2023244$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50% 3,078 2,385 $87K
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 16% 724 641 $29K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14% 494 442 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5.1% 619 340 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.5% 659 591 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4.3% 558 444 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 3.1% 110 105 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.9% 172 169 $3K
36415 Collection of venous blood by venipuncture <1% 418 391 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 15 15 $596.25
80305 <1% 12 12 $129.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 13 12 $117.20
2 more codes
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 22 $19.00
81003 <1% 28 $18.59

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.