NP / PA
Sandoval, Helene Angeline
Sandoval, Helene Angeline was paid $11K by Medicaid between Jan 2024 and Sep 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoSANDOVAL, HELENE ANGELINE
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1841833951assigned 10/21/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$11K
24GClaims956
24DCodes billed9
24AFirst – last monthJan 2024 – Sep 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#364 of 687
Median peer was paid$15K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2024incomplete | 956 | $11K |
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 | 64% | 146 | 138 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 91 | 89 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.9% | 16 | 15 | $517.55 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.1% | 32 | 15 | $433.32 |
| 96127 | 1.3% | 43 | 41 | $135.93 | |
| 3008F | 0% | 215 | 202 | $0.00 | |
| 3079F | 0% | 78 | 74 | $0.00 | |
| 3074F | 0% | 209 | 198 | $0.00 | |
| 3078F | 0% | 126 | 123 | $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.