Physician
Tennessee Nephrology Clinic, PLLC
Tennessee Nephrology Clinic, PLLC was paid $121K by Medicaid between Jan 2018 and Oct 2024, across 14 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 — 56% of everything it billed.
33Billing provider infoTENNESSEE NEPHROLOGY CLINIC, PLLC
MARYVILLE, TN 37804
MARYVILLE, TN 37804
33aNPI1164795159assigned 02/22/2012
33bProvider typeNephrology Physician
28Total paid$121K
24GClaims6,584
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Tennessee
Rank by total paid#11 of 48
Median peer was paid$28K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2018 | 763 | $17K | |
| 2019 | 1,052 | $19K | |
| 2020 | 1,151 | $27K | |
| 2021 | 1,591 | $24K | |
| 2022 | 1,458 | $19K | |
| 2023 | 320 | $8K | |
| 2024incomplete | 249 | $6K |
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 | 56% | 1,697 | 1,476 | $67K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 1,750 | 609 | $23K |
| 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 | 16% | 1,294 | 1,167 | $19K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 7.9% | 447 | 170 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 43 | 43 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 14 | $143.10 |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $115.56 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 182 | 164 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 175 | 160 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 263 | 239 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 232 | 212 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 214 | 198 | $0.00 |
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 officialSHAFI, MOHAMMAD (OWNER)