Physician
Nephrocare Tennessee PLLC
Nephrocare Tennessee PLLC was paid $91K by Medicaid between Oct 2020 and Nov 2024, across 9 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 40% of everything it billed.
33Billing provider infoNEPHROCARE TENNESSEE PLLC
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
33aNPI1063839041assigned 03/27/2014
33bProvider typeNephrology Physician
28Total paid$91K
24GClaims6,381
24DCodes billed9
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Tennessee
Rank by total paid#13 of 48
Median peer was paid$28K
This provider vs. median3.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 160 | $2K | |
| 2021 | 1,849 | $28K | |
| 2022 | 1,565 | $24K | |
| 2023 | 1,337 | $18K | |
| 2024incomplete | 1,470 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 40% | 1,946 | 1,426 | $36K |
| 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 | 26% | 1,950 | 1,421 | $24K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 1,393 | 599 | $16K |
| 99223 | Prolong inpt eval add15 m | 7.8% | 179 | 160 | $7K |
| 90961 | 5.0% | 127 | 109 | $5K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.5% | 174 | 77 | $2K |
| 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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 558 | 362 | $745.15 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 35 | 26 | $337.02 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 19 | 14 | $298.89 |
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.
From NPPES
Who's on the registration
Authorized officialSINGH, ASHUTOSH (PRESIDENT)