Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Moore, Carol

Moore, Carol was paid $207K by Medicaid between Jan 2018 and Dec 2019, across 26 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 24% of everything it billed.

33Billing provider infoMOORE, CAROL
DICKSON, TN 37055
33aNPI1841328069assigned 03/01/2007
28Total paid$207K
24GClaims8,413
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#80 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

$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
20184,296$104K
20194,117$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24% 751 616 $49K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24% 688 596 $49K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 660 597 $29K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13% 1,363 1,114 $26K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13% 513 386 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.6% 1,421 1,157 $12K
90472 Immunization administration, each additional vaccine (list separately) 4.4% 894 698 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.4% 33 29 $3K
96127 <1% 219 181 $1K
99173 <1% 154 135 $788.97
90460 Immunization administration through 18 years of age via any route, first or only component <1% 43 34 $787.50
90474 <1% 117 99 $630.87
14 more codes
99177 <1% 29 $169.52
90686 0% 277 $0.00
90716 0% 82 $0.00
90647 0% 144 $0.00
90680 0% 135 $0.00
90651 0% 13 $0.00
90723 0% 12 $0.00
90688 0% 176 $0.00
90685 0% 146 $0.00
90670 0% 342 $0.00
90648 0% 18 $0.00
90707 0% 80 $0.00
90633 0% 84 $0.00
90461 0% 19 $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.