Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Alvarez, Jennifer

Alvarez, Jennifer was paid $290K by Medicaid between Jan 2018 and Dec 2020, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoALVAREZ, JENNIFER
PIKEVILLE, TN 37367
33aNPI1992911465assigned 05/14/2007
33bProvider typePediatrics Physician
28Total paid$290K
24GClaims7,258
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#136 of 333
Median peer was paid$139K
This provider vs. median2.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,790$111K
20192,597$101K
20201,871$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 2,047 1,852 $96K
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 17% 683 631 $50K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 579 530 $46K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14% 581 513 $40K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 1,365 1,200 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 118 112 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.0% 452 403 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 177 162 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 19 15 $1K
96127 <1% 54 34 $266.41
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 20 12 $188.81
83655 <1% 13 12 $162.92
10 more codes
90686 <1% 324 $44.50
90670 0% 356 $0.00
90685 0% 101 $0.00
90461 0% 24 $0.00
90633 0% 40 $0.00
90681 0% 13 $0.00
90700 0% 13 $0.00
90647 0% 129 $0.00
90723 0% 137 $0.00
90716 0% 13 $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.