Stephen L. Averett
Stephen L. Averett was paid $186K by Medicaid between Jan 2018 and Nov 2023, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoSTEPHEN L. AVERETT
LINDEN, TN 37096
LINDEN, TN 37096
33aNPI1851426415assigned 02/23/2007
33bProvider typeLegal Medicine
28Total paid$186K
24GClaims29,622
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Legal Medicine providers in Tennessee
Rank by total paid#8 of 16
Median peer was paid$110K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2018 | 2,395 | $25K | |
| 2019 | 3,801 | $29K | |
| 2020 | 5,842 | $33K | |
| 2021 | 8,600 | $36K | |
| 2022 | 5,205 | $34K | |
| 2023 | 3,779 | $28K |
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 | 77% | 6,567 | 5,180 | $142K |
| 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% | 1,425 | 1,189 | $26K |
| 99497 | 2.4% | 201 | 169 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 629 | 520 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 238 | 213 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.0% | 65 | 49 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 52 | 50 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,092 | 966 | $900.39 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 53 | 13 | $673.02 |
| 80305 | <1% | 245 | 217 | $543.12 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 28 | 27 | $451.70 |
| 90688 | <1% | 46 | 40 | $233.53 |
28 more codes
| 99407 | <1% | 33 | $232.79 | |
| G0008 | Administration of influenza virus vaccine | <1% | 93 | $213.72 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $197.02 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 30 | $125.36 |
| 1159F | <1% | 5,047 | $110.00 | |
| 1160F | <1% | 5,048 | $110.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 17 | $100.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 33 | $68.68 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 38 | $58.61 |
| 3008F | <1% | 2,181 | $50.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 29 | $6.23 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,997 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 102 | $0.00 |
| 1158F | 0% | 60 | $0.00 | |
| 4004F | 0% | 90 | $0.00 | |
| 1124F | 0% | 101 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 100 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 250 | $0.00 |
| 4040F | 0% | 47 | $0.00 | |
| 99072 | 0% | 37 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 39 | $0.00 |
| 1157F | 0% | 60 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 186 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 114 | $0.00 |
| 1036F | 0% | 51 | $0.00 | |
| 3017F | 0% | 140 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 16 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialAVERETT, STEPHEN (OWNER)