Physician
Kidney Experts PLLC
Kidney Experts PLLC was paid $418K by Medicaid between Oct 2018 and Dec 2024, across 31 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 — 23% of everything it billed.
33Billing provider infoKIDNEY EXPERTS PLLC
DYERSBURG, TN 38024
DYERSBURG, TN 38024
33aNPI1225529142assigned 05/25/2018
33bProvider typeNephrology Physician
28Total paid$418K
24GClaims38,272
24DCodes billed31
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Tennessee
Rank by total paid#5 of 48
Median peer was paid$28K
This provider vs. median15×
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 | 14 | $105.59 | |
| 2019 | 301 | $4K | |
| 2020 | 1,535 | $26K | |
| 2021 | 3,656 | $48K | |
| 2022 | 7,470 | $99K | |
| 2023 | 13,791 | $108K | |
| 2024incomplete | 11,505 | $132K |
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 | 23% | 4,033 | 3,030 | $96K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 4,676 | 1,173 | $69K |
| 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 | 13% | 3,804 | 2,675 | $53K |
| 99223 | Prolong inpt eval add15 m | 12% | 1,949 | 1,329 | $51K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.7% | 3,125 | 1,036 | $36K |
| 90961 | 5.6% | 922 | 677 | $23K | |
| 90966 | 4.8% | 1,018 | 723 | $20K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.6% | 1,472 | 533 | $15K |
| 99490 | Ccm add 20min | 3.5% | 1,704 | 1,376 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 488 | 333 | $10K |
| 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 | 1.8% | 374 | 246 | $8K |
| 90962 | 1.5% | 296 | 237 | $6K |
19 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 215 | $5K |
| 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% | 1,750 | $3K |
| 99439 | <1% | 256 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,574 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 171 | $2K |
| 99487 | Ccm add 20min | <1% | 140 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 22 | $518.71 |
| 3078F | <1% | 735 | $354.00 | |
| 99457 | <1% | 15 | $338.74 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 14 | $223.23 |
| 3074F | <1% | 524 | $208.00 | |
| 3077F | <1% | 566 | $203.53 | |
| 3079F | <1% | 175 | $70.00 | |
| 3080F | <1% | 96 | $50.00 | |
| 3008F | <1% | 2,844 | $6.00 | |
| 1159F | <1% | 2,391 | $0.02 | |
| 1160F | <1% | 1,841 | $0.01 | |
| 1126F | 0% | 15 | $0.00 | |
| 1026F | 0% | 67 | $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 officialLEE-MULAY, ANNA (NEPHROLOGIST)