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NPI 1184959066 · Monterey, TN · Family Nurse Practitioner
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Tia Criscoe is a family nurse practitioner provider located in Monterey, Tennessee. This profile covers 8 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Tia Criscoe |
| Address | 410 W Crawford Ave |
| City | Monterey |
| State | TN |
| ZIP | 38574 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | October 9, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $73.6K |
| Medicaid | $30 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 650 | $60 | $41K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 90 | $100 | $8.3K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 180 | $50 | $8.2K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 150 | $30 | $4.7K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 30 | $130 | $4.4K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 190 | $20 | $3.1K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 50 | $50 | $2.2K |
| 99316 | The provider sees a patient for nursing facility discharge management requiring more than 30 minutes. | 20 | $80 | $1.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 150 | $0 | $0 |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 100 | $0 | $0 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 10 | $0 | $0 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 40 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 242 | 360 | 500 | $10 | $51.1K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 23 | 40 | 220 | $20 | $27.5K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 148 | 160 | 320 | $0 | $0 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 77 | 100 | 220 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 81 | 110 | 240 | $0 | $0 |
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