Physician
Nephrology Associates of Knoxville, PC
Nephrology Associates of Knoxville, PC was paid $393K by Medicaid between Jan 2018 and Nov 2024, across 16 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 — 31% of everything it billed.
33Billing provider infoNEPHROLOGY ASSOCIATES OF KNOXVILLE, PC
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
33aNPI1114912433assigned 09/13/2005
33bProvider typeNephrology Physician
28Total paid$393K
24GClaims23,549
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Tennessee
Rank by total paid#6 of 48
Median peer was paid$28K
This provider vs. median14×
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 | 3,313 | $67K | |
| 2019 | 3,212 | $50K | |
| 2020 | 3,287 | $44K | |
| 2021 | 4,662 | $71K | |
| 2022 | 3,672 | $55K | |
| 2023 | 3,524 | $62K | |
| 2024incomplete | 1,879 | $44K |
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 | 31% | 5,839 | 4,432 | $121K |
| 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% | 4,992 | 3,960 | $104K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 8,863 | 2,758 | $103K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 1,936 | 851 | $44K |
| 99223 | Prolong inpt eval add15 m | 1.6% | 273 | 202 | $6K |
| 90961 | 1.5% | 284 | 213 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 114 | 87 | $3K |
| 99454 | <1% | 49 | 39 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 61 | 38 | $969.15 |
| 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% | 14 | 12 | $891.04 |
| 99490 | Ccm add 20min | <1% | 178 | 167 | $642.95 |
| 99457 | <1% | 39 | 36 | $613.28 |
4 more codes
| 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% | 287 | $588.02 |
| 90962 | <1% | 36 | $508.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 524 | $392.16 |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 60 | $362.11 |
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 officialRIVERS, DENISE (PARTNER/PRESIDENT)