NP / PA
Mcdonald, Shandy
Mcdonald, Shandy was paid $254K by Medicaid between Mar 2018 and Dec 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoMCDONALD, SHANDY
FRANKLIN, TN 37067
FRANKLIN, TN 37067
33aNPI1932546124assigned 05/28/2013
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$254K
24GClaims11,568
24DCodes billed14
24AFirst – last monthMar 2018 – Dec 2020
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Tennessee
Rank by total paid#7 of 92
Median peer was paid$21K
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.
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 | 2,737 | $56K | |
| 2019 | 5,517 | $110K | |
| 2020 | 3,314 | $88K |
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 | 63% | 4,902 | 4,366 | $161K |
| 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 | 20% | 1,130 | 1,050 | $50K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 9.8% | 589 | 440 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 297 | 277 | $9K |
| 3008F | 1.0% | 1,439 | 1,293 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 270 | 234 | $2K |
| 3074F | <1% | 943 | 862 | $2K | |
| 3078F | <1% | 863 | 774 | $2K | |
| 3079F | <1% | 179 | 166 | $650.00 | |
| 3077F | <1% | 65 | 57 | $220.00 | |
| 3080F | <1% | 26 | 24 | $70.00 | |
| 3075F | <1% | 42 | 39 | $60.00 |
2 more codes
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.