Maclin, Karol

Maclin, Karol was paid $254K by Medicaid between Jan 2018 and Mar 2024, across 5 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 58% of everything it billed.

33Billing provider infoMACLIN, KAROL
MEMPHIS, TN 38119

33aNPI1851694848assigned 12/13/2010

33bProvider typeNurse Practitioner

28Total paid$254K

24GClaims14,241

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#23 of 212

Median peer was paid$17K

This provider vs. median15×

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	3,972	$67K
2019	4,375	$78K
2020	4,747	$77K
2021	468	$13K
2022	261	$8K
2023	260	$7K
2024incomplete	158	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	58%	7,679	4,309	$148K
99308	Subsequent nursing facility care, per day, straightforward	30%	5,394	3,564	$75K
99310	Prolong nursin fac eval 15m	11%	1,001	838	$28K
99315		<1%	151	137	$2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	16	16	$714.36

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.