Blalock, Sheila

Blalock, Sheila was paid $211K by Medicaid between Jan 2018 and Dec 2020, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoBLALOCK, SHEILA
CROSSVILLE, TN 38571

33aNPI1952625030assigned 03/18/2010

33bProvider typeNurse Practitioner

28Total paid$211K

24GClaims5,522

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#27 of 212

Median peer was paid$17K

This provider vs. median13×

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	1,892	$72K
2019	2,125	$79K
2020	1,505	$61K

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	80%	3,476	2,906	$170K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	643	591	$24K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.4%	641	528	$9K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.9%	512	242	$6K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	13	$878.89
87807		<1%	44	40	$405.86
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	26	$263.59
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	120	115	$226.29
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	46	41	$209.23

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.