CLAIRE HIGGINBOTHAM, PA
Physician Assistant · DAYTON, TN
Individual Active NPI 1346993185
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 145 | 1,203 | $119,990 | $70,435 | $55,252 |
| 2023 | 146 | 643 | $72,495 | $41,687 | $34,083 |
| 2022 | 92 | 252 | $20,098 | $7,308 | $6,759 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 374 | $99 | $68 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 206 | $13 | $10 |
| 99497 | Advance care planning, first 30 minutes | 75 | $64 | $60 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 70 | $20 | $20 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 62 | $101 | $101 |
| G0444 | Annual depression screening, 5 to 15 minutes | 55 | $15 | $15 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $71 | $46 |
| 80305 | Testing for presence of drug, read by direct observation | 27 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 21 | $80 | $80 |
| G0008 | Administration of influenza virus vaccine | 21 | $30 | $30 |
| 81002 | Urinalysis, manual test | 18 | $3 | $3 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 17 | $49 | $37 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | 4881 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.