ZANA ELLIOTT, FNP
NPI 1699973917, individual, Tyler, TX, Nurse Practitioner, Family
- Hours beyond a day in 6 months under one organization, which can be supervisory billing.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds at a conservative unit price | 7.2 | 70.5 | 47.0 | 63.4 | 163 | 1 | 99310 | $14K |
| Feb 2018 | More hours than a day holds at a conservative unit price | 9.2 | 41.8 | 27.8 | 39.0 | 164 | 1 | 99310 | $8K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 8.0 | 37.5 | 25.0 | 35.2 | 184 | 1 | 99309 99310 | $8K |
| Jan 2019 | More hours than a day holds at a conservative unit price | 4.5 | 45.4 | 30.3 | 40.8 | 188 | 1 | 99309 99310 | $9K |
| Apr 2019 | More hours than a day holds at a conservative unit price | 4.7 | 38.3 | 25.6 | 34.8 | 203 | 1 | 99308 99309 99310 | $7K |
| Sep 2019 | More hours than a day holds at a conservative unit price | 4.8 | 40.9 | 27.2 | 38.9 | 195 | 1 | 99308 99309 99310 | $9K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ZANA ELLIOTT, FNP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 8, 2007, last updated December 31, 2013 |
| Practice location | 967 PRUITT PL, Tyler, TX 75703-1153, 903-266-1599 |
| Mailing address | 12751 WESTBROOK DR, Tyler, TX 75704-2458 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 738885 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $298K | 69% | $45 | $21 (top 5% from $84) | 83rd percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $104K | 24% | $43 | $30 (top 5% from $134) | 66th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $29K | 7% | $17 | $14 (top 5% from $58) | 58th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 404 | 108 | $28K | $125 | $87 | 1.4x | 2.0x (90th percentile 3.3x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 119 | 86 | $12K | $192 | $124 | 1.5x | 2.0x (90th percentile 3.4x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 146 | 69 | $7K | $85 | $60 | 1.4x | 2.0x (90th percentile 3.4x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
6 providers in Smith County, TX carry an indicator in the public record, with $1.3M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MARK MAZZARE Tyler, TX, ranked 159 | $79K |
|
| 3 | UNICARE HOME HEALTH SERVICES OF TYLER, INC. Tyler, TX, ranked 1031 | $1.2M |
|
| 3 | THE CENTER AT GRANDE, LLC Tyler, TX, ranked 4385 | $0 |
|
| 3 | TRADITIONS HOSPICE OF TYLER, LLC Tyler, TX, ranked 5145 | $0 |
|
| 3 | AIDING HOME HEALTH, LLC Tyler, TX, ranked 6000 | $0 |
|
| 3 | TRADITIONS HEALTH CARE OF TYLER, LLC Tyler, TX, ranked 6272 | $0 |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.