Nurse Practitioner, Family · Bells, TN
NPI
1982843231
Since 2009
Specialty
Nurse Practitioner, Family
Code 363LF0000X
Group practices
2
Medicare group memberships
Hospitals
0
Hospital affiliations
4128 Old Jackson Rd
Bells, TN, 38006
Phone (731) 393-3500
Groups this clinician bills Medicare through
Medicare paid, 2024
$198K
3,983 services
Medicare patients, 2024
453
Average age 80
Drug cost, 2024
$1.6M
5,312 prescriptions
Company payments, 2025
$477
From 4 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by April R Downing was code 99308 (snf e&m), 1,169 times for 217 patients. In total April R Downing billed 3,983 services in 15 codes, and Medicare paid $198K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2026-03-25.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99308 SNF E&M | Office | 1,169 | 217 | $41.31 | $48K |
| 99348 Home E&M - New and Established | Office | 862 | 137 | $44.38 | $38K |
| 99309 SNF E&M | Office | 661 | 190 | $61.11 | $40K |
| 99349 Home E&M - New and Established | Office | 366 | 125 | $72.51 | $27K |
| 90833 Psychotherapy - Nongroup | Office | 303 | 146 | $42.28 | $13K |
| 90792 Psychotherapy - Nongroup | Office | 125 | 124 | $110.30 | $14K |
| 99308 SNF E&M | Facility | 104 | 54 | $42.60 | $4,431 |
| 99347 Home E&M - New and Established | Office | 83 | 59 | $25.78 | $2,139 |
| 96127 Behavioral Health Services | Office | 72 | 68 | $3.18 | $229 |
| G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes | Office | 62 | 60 | $8.61 | $534 |
| 99309 SNF E&M | Facility | 54 | 36 | $63.07 | $3,406 |
| 90792 Psychotherapy - Nongroup | Facility | 52 | 52 | $100.15 | $5,208 |
| 99307 SNF E&M | Office | 24 | 22 | $24.13 | $579 |
| 90833 Psychotherapy - Nongroup | Facility | 18 | 12 | $40.94 | $737 |
By year: 2022 $216K for 3,565 services; 2023 $260K for 3,961 services; 2024 $198K for 3,983 services.
Medicare prescription drug claims, 2024
In 2024, the drug April R Downing prescribed most often to Medicare patients was Buspirone Hcl, with 619 prescriptions and refills. In total April R Downing wrote 5,312 Medicare prescriptions that cost $1.6M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Buspirone Hcl Generic | 619 | 619 | 58 | $5,540 |
| Quetiapine Fumarate Generic | 286 | 286 | 29 | $2,997 |
| Trazodone Hcl Generic | 225 | 225 | 23 | $1,479 |
| Atorvastatin Calcium Generic | 200 | 201 | 17 | $1,464 |
| Sertraline Hcl Generic | 190 | 190 | 27 | $1,689 |
| Divalproex Sodium Generic | 170 | 170 | 14 | $1,660 |
| Austedo Deutetrabenazine | 160 | 160 | 14 | $1.2M |
| Lisinopril Generic | 150 | 152 | 11 | $946 |
| Furosemide Generic | 144 | 146 | 22 | $1,134 |
| Mirtazapine Generic | 143 | 143 | 27 | $5,728 |
| Omeprazole Generic | 135 | 135 | Under 11 | $851 |
| Amlodipine Besylate Generic | 132 | 133 | 15 | $817 |
| Memantine Hcl Generic | 124 | 125 | 23 | $4,087 |
| Lorazepam Generic | 120 | 120 | 42 | $1,785 |
| Escitalopram Oxalate Generic | 119 | 119 | 17 | $1,223 |
Brand drugs: - claims; generic drugs: 4,928 claims; opioid claims: 11.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid April R Downing $477 ($477 in general payments such as food, travel and fees) from 4 companies. The largest payer was Teva Pharmaceuticals USA, Inc. with $254.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.