Downing, April

Downing, April was paid $175K by Medicaid between Jan 2018 and Dec 2020, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoDOWNING, APRIL
JACKSON, TN 38305

33aNPI1982843231assigned 02/10/2009

33bProvider typeFamily Nurse Practitioner

28Total paid$175K

24GClaims18,489

24DCodes billed28

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#92 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.

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	9,647	$60K
2019	5,440	$67K
2020	3,402	$47K

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	33%	2,567	2,023	$58K
99309	Subsequent nursing facility care, per day, low to moderate complexity	23%	2,135	1,209	$41K
99308	Subsequent nursing facility care, per day, straightforward	15%	2,448	1,295	$27K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	7.6%	1,454	941	$13K
99307		6.3%	1,323	613	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.3%	348	312	$9K
99490	Ccm add 20min	2.6%	394	356	$5K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	2.1%	960	634	$4K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	455	344	$1K
99493		<1%	87	83	$1K
81025		<1%	211	196	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	75	47	$1K

16 more codes

J2300	Injection, nalbuphine hydrochloride, per 10 mg	<1%	368	$690.94
90785		<1%	960	$651.77
J2550	Injection, promethazine hcl, up to 50 mg	<1%	384	$323.96
93000		<1%	17	$205.60
99204	Doctor's office visit, new patient (more involved)	<1%	27	$187.22
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	116	$114.58
90688		<1%	18	$96.20
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	430	$92.98
81003		<1%	80	$92.13
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	71	$60.90
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	175	$47.23
81002		<1%	18	$31.64
G0008	Administration of influenza virus vaccine	<1%	17	$28.08
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	25	$6.70
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	3,300	$0.00
80176		0%	26	$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.