NP / PA
Wilson, Stephen
Wilson, Stephen was paid $174K by Medicaid between Oct 2019 and Dec 2020, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoWILSON, STEPHEN
MILLINGTON, TN 38053
MILLINGTON, TN 38053
33aNPI1861768665assigned 03/26/2012
33bProvider typeNurse Practitioner
28Total paid$174K
24GClaims7,601
24DCodes billed30
24AFirst – last monthOct 2019 – Dec 2020
Compared with peers
Next to other Nurse Practitioner providers in Tennessee
Rank by total paid#34 of 212
Median peer was paid$17K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2019 | 1,145 | $28K | |
| 2020 | 6,456 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 1,414 | 1,300 | $58K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 829 | 770 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 438 | 406 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 206 | 198 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 117 | 112 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 242 | 232 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 239 | 220 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 143 | 134 | $3K |
| 96127 | <1% | 434 | 410 | $2K | |
| 3008F | <1% | 638 | 598 | $2K | |
| 92551 | <1% | 243 | 230 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 20 | 19 | $2K |
18 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 188 | $1K |
| 99173 | <1% | 271 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 107 | $851.08 |
| 90670 | <1% | 181 | $770.93 | |
| 83655 | <1% | 56 | $675.49 | |
| 96160 | <1% | 79 | $617.55 | |
| 90716 | <1% | 132 | $516.51 | |
| 90651 | <1% | 43 | $303.62 | |
| 90707 | <1% | 130 | $294.04 | |
| 90461 | <1% | 413 | $289.63 | |
| 36416 | <1% | 191 | $261.86 | |
| 90686 | <1% | 355 | $178.00 | |
| 90633 | <1% | 164 | $131.01 | |
| 90648 | <1% | 93 | $36.54 | |
| 94760 | <1% | 76 | $21.98 | |
| 90734 | 0% | 12 | $0.00 | |
| 99000 | 0% | 135 | $0.00 | |
| 90723 | 0% | 12 | $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.