Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Memphis › NPI 1437101821
Physician

Wesley Neurology Clinic PC

Wesley Neurology Clinic PC was paid $591K by Medicaid between Jan 2018 and Jan 2022, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoWESLEY NEUROLOGY CLINIC PC
MEMPHIS, TN 38104
33aNPI1437101821assigned 05/16/2006
33bProvider typeNeurology Physician
28Total paid$591K
24GClaims16,493
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other Neurology Physician providers in Tennessee

Rank by total paid#8 of 83
Median peer was paid$27K
This provider vs. median22×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,143$184K
20194,607$172K
20202,794$97K
20213,911$134K
202238$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 51% 6,895 6,036 $302K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 2,631 2,289 $72K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 10.0% 2,465 1,164 $59K
99223 Prolong inpt eval add15 m 4.6% 563 449 $27K
95816 3.9% 502 448 $23K
95951 3.8% 242 60 $23K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.0% 729 195 $18K
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 2.9% 256 229 $17K
95822 2.6% 869 625 $15K
95811 1.6% 27 25 $9K
95819 1.3% 194 170 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.0% 139 126 $6K
7 more codes
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 15 $4K
99215 Doctor's office visit, returning patient (complex) <1% 40 $2K
99222 Initial hospital care, per day, moderate complexity <1% 56 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 171 $2K
96127 <1% 659 $2K
95886 <1% 13 $865.80
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 27 $343.69

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 officialLUCAS, JAMES (ADMINISTRATOR)
Same official

Other billing entities under LUCAS, JAMES

Full network →
ProviderLocationPaid
Lucas and Associates INCKamuela, HI$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.