Nes Tennessee INC
Nes Tennessee INC was paid $1.76M by Medicaid between Jan 2018 and Nov 2019, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 38% of everything it billed.
MONTGOMERY, AL 36106
Next to other Emergency Medicine Physician providers in Alabama
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,637 | $852K | |
| 2019 | 19,629 | $913K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 38% | 9,447 | 9,135 | $677K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 35% | 10,993 | 10,718 | $625K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 24% | 11,370 | 11,087 | $428K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 6,249 | 6,049 | $31K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 80 | 78 | $4K |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 1,418 | 1,383 | $0.00 |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 76 | 76 | $0.00 |
| 3210F | 0% | 65 | 65 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,097 | 1,059 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 471 | 456 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Services of Lorain, INC. | Lorain, OH | $6.88M |
| Ultimate Home Care LLC, Dba Oak View Health Services | Idabel, OK | $4.68M |
| Nes Georgia INC | Elizabeth, NJ | $4.66M |
| Nes of Sandusky INC | Logansport, IN | $2.72M |
| Whitaker National Corporation | Jackson, KY | $1.69M |
| Whitaker National Corporation | Paintsville, KY | $1.62M |
| Emergency Medical Services of Lorain, INC. | Oberlin, OH | $1.58M |
| Commonwealth of Kentucky | Louisville, KY | $1.51M |
| Whitaker National Corporation | Louisa, KY | $1.19M |
| Nes Tennessee INC | Monroeville, AL | $915K |
| Jennifer C Moore MSW LCSW INC | Las Vegas, NV | $620K |
| Nes Kentucky INC | Nashville, AR | $617K |
| Hles of Ohio INC | East Liverpool, OH | $553K |
| Commonwealth of Kentucky | Somerset, KY | $451K |
| Commonwealth of Kentucky | Lexington, KY | $435K |
| Nes Medical Services of New England INC | Bangor, ME | $348K |
| Nes Louisiana INC | Springhill, LA | $257K |
| Hles of Ohio, INC. | Wauseon, OH | $229K |
| Ultimate Home Care LLC, Dba Oak View Helath Services | Idabel, OK | $181K |
| Commonwealth of Kentucky | Hopkinsville, KY | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.