Mcelaney, Mary

Mcelaney, Mary was paid $5K by Medicaid between Apr 2018 and Feb 2020, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 49% of everything it billed.

33Billing provider infoMCELANEY, MARY
NASHVILLE, TN 37211

33aNPI1861452138assigned 03/23/2006

33bProvider typePulmonary Disease Physician

28Total paid$5K

24GClaims135

24DCodes billed3

24AFirst – last monthApr 2018 – Feb 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Tennessee

Rank by total paid#44 of 62

Median peer was paid$26K

This provider vs. median0.2×

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	48	$2K
2020	87	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	49%	68	32	$2K
99223	Prolong inpt eval add15 m	35%	31	29	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	15%	36	24	$720.86

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.