Mid-South Nephrology Consultants PLLC

Mid-South Nephrology Consultants PLLC was paid $1.69M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 28% of everything it billed.

33Billing provider infoMID-SOUTH NEPHROLOGY CONSULTANTS PLLC
MEMPHIS, TN 38115

33aNPI1346219342assigned 03/14/2006

33bProvider typeNephrology Physician

28Total paid$1.69M

24GClaims82,974

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Tennessee

Rank by total paid#1 of 48

Median peer was paid$28K

This provider vs. median61×

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	11,400	$255K
2019	11,156	$252K
2020	11,103	$237K
2021	14,365	$291K
2022	13,420	$233K
2023	13,081	$244K
2024incomplete	8,449	$175K

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	28%	33,921	14,314	$465K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	23%	10,502	9,437	$394K
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	14%	9,925	8,787	$236K
90961		13%	6,437	5,778	$226K
99223	Prolong inpt eval add15 m	7.1%	3,131	2,739	$120K
90935	Hemodialysis procedure with single evaluation by a physician	5.7%	7,261	4,073	$96K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.8%	2,220	1,296	$47K
99222	Initial hospital care, per day, moderate complexity	2.7%	1,777	1,526	$45K
99231	Subsequent hospital care, per day, straightforward or low complexity	2.3%	5,715	2,741	$39K
90966		<1%	177	143	$6K
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%	377	323	$5K
90970		<1%	543	320	$3K

8 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	28	$1K
99426		<1%	147	$881.27
90937		<1%	33	$584.33
99427		<1%	119	$496.14
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%	240	$413.42
99458		<1%	141	$331.25
99457		<1%	159	$309.05
99454		<1%	121	$145.39

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 officialHERNANDEZ, DOMINGA (CHIEF EXECUTIVE OFFICER)