NP / PA
Waverly Pediatric and Adult Care
Waverly Pediatric and Adult Care was paid $241K by Medicaid between Jan 2018 and Oct 2020, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoWAVERLY PEDIATRIC AND ADULT CARE
WAVERLY, TN 37185
WAVERLY, TN 37185
33aNPI1962796888assigned 06/08/2011
33bProvider typeFamily Health Clinical Nurse Specialist
28Total paid$241K
24GClaims7,356
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Family Health Clinical Nurse Specialist providers in Tennessee
Rank by total paid#4 of 7
Median peer was paid$241K
This provider vs. median1.0×
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 | 2,981 | $91K | |
| 2019 | 3,470 | $114K | |
| 2020 | 905 | $36K |
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 | 39% | 1,438 | 1,148 | $95K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 19% | 1,469 | 1,087 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 838 | 728 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 680 | 622 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 127 | 121 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 120 | 111 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 118 | 107 | $7K |
| 97802 | 2.1% | 428 | 394 | $5K | |
| 92552 | 1.9% | 315 | 289 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | 26 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 172 | 160 | $2K |
| 99173 | <1% | 404 | 379 | $2K |
8 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.
From NPPES
Who's on the registration
Authorized officialSKELTON, MARY (OWNER)