Allen, Mark

Allen, Mark was paid $177K by Medicaid between Jan 2018 and Jan 2019, across 12 billing codes. Its largest line is 64421, — 26% of everything it billed.

33Billing provider infoALLEN, MARK
MANCHESTER, TN 37355

33aNPI1932187507assigned 01/04/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$177K

24GClaims2,169

24DCodes billed12

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#89 of 687

Median peer was paid$15K

This provider vs. median12×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (01/19/2023).

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	2,031	$165K
2019	138	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
64421		26%	275	259	$46K
76942		21%	485	264	$37K
64445		11%	151	151	$20K
76881		11%	195	182	$19K
76775		7.0%	194	178	$12K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	6.8%	153	152	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.2%	343	306	$11K
64425		5.6%	156	156	$10K
64430		2.4%	69	69	$4K
64447		2.4%	120	120	$4K
64418		<1%	15	15	$744.90
64450		<1%	13	13	$594.49

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.