Setser, Kimberly

Setser, Kimberly was paid $96K by Medicaid between Jan 2018 and Dec 2020, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoSETSER, KIMBERLY
MORRISTOWN, TN 37814

33aNPI1891782702assigned 10/05/2005

33bProvider typeFamily Nurse Practitioner

28Total paid$96K

24GClaims5,070

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#151 of 687

Median peer was paid$15K

This provider vs. median6.5×

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	1,112	$36K
2019	2,901	$38K
2020	1,057	$21K

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	79%	2,002	1,401	$75K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	598	446	$16K
36415	Collection of venous blood by venipuncture	<1%	470	361	$496.31
1159F		<1%	691	406	$468.82
3008F		<1%	323	208	$442.39
90756		<1%	38	30	$428.81
90686		<1%	43	32	$425.13
99490	Ccm add 20min	<1%	50	42	$361.85
3074F		<1%	269	170	$316.91
1125F		<1%	203	134	$290.31
3078F		<1%	185	128	$212.01
3079F		<1%	111	75	$210.00

5 more codes

3077F		<1%	17	$40.00
3044F		<1%	21	$20.00
S9470	Nutritional counseling, dietitian visit	<1%	19	$10.50
G0008	Administration of influenza virus vaccine	<1%	12	$10.49
3075F		0%	18	$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.