Kenneth J Phelps MD
Kenneth J Phelps MD was paid $127K by Medicaid between Jan 2018 and Jul 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoKENNETH J PHELPS MD
LEWISBURG, TN 37091
LEWISBURG, TN 37091
33aNPI1275759011assigned 04/18/2007
33bProvider typeSpecialist
28Total paid$127K
24GClaims8,043
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#100 of 252
Median peer was paid$57K
This provider vs. median2.2×
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 | 1,301 | $26K | |
| 2019 | 1,877 | $33K | |
| 2020 | 1,438 | $24K | |
| 2021 | 2,155 | $29K | |
| 2022 | 1,272 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 81% | 5,739 | 4,439 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,595 | 1,309 | $19K |
| 95923 | 1.5% | 61 | 45 | $2K | |
| 93922 | 1.1% | 62 | 46 | $1K | |
| 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% | 23 | 23 | $928.01 |
| 95943 | <1% | 48 | 35 | $684.62 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 515 | 424 | $301.00 |
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 officialPHELPS, KENNETH (MD)