Regional Kidney Care, PC
Regional Kidney Care, PC was paid $489K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 37% of everything it billed.
33Billing provider infoREGIONAL KIDNEY CARE, PC
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1073638144assigned 03/20/2007
33bProvider typeSpecialist
28Total paid$489K
24GClaims21,387
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#51 of 252
Median peer was paid$57K
This provider vs. median8.6×
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 | |
|---|---|---|---|
| 2018 | 2,934 | $60K | |
| 2019 | 3,786 | $77K | |
| 2020 | 2,925 | $73K | |
| 2021 | 3,411 | $73K | |
| 2022 | 3,157 | $72K | |
| 2023 | 2,994 | $71K | |
| 2024incomplete | 2,180 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 37% | 10,052 | 4,172 | $180K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 28% | 3,872 | 3,090 | $137K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 15% | 3,729 | 1,656 | $75K |
| 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 | 11% | 2,240 | 1,848 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 645 | 509 | $11K |
| 90961 | 2.3% | 253 | 202 | $11K | |
| 90966 | 2.2% | 115 | 113 | $11K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 198 | 168 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 56 | 50 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 77 | 38 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 137 | 62 | $2K |
| 90970 | <1% | 13 | 12 | $150.81 |
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 officialEARLES, MARKALENE (PRACTICE MANAGER)