Northwest Tennessee Cardiology Clinic, P. C.
Northwest Tennessee Cardiology Clinic, P. C. was paid $150K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.
33Billing provider infoNORTHWEST TENNESSEE CARDIOLOGY CLINIC, P. C.
UNION CITY, TN 38261
UNION CITY, TN 38261
33aNPI1447231097assigned 11/10/2005
33bProvider typeSpecialist
28Total paid$150K
24GClaims5,829
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#93 of 252
Median peer was paid$57K
This provider vs. median2.6×
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 | 908 | $23K | |
| 2019 | 763 | $19K | |
| 2020 | 849 | $20K | |
| 2021 | 849 | $25K | |
| 2022 | 813 | $21K | |
| 2023 | 1,063 | $25K | |
| 2024incomplete | 584 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 65% | 3,756 | 3,257 | $98K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 28% | 749 | 639 | $43K |
| 93000 | 3.9% | 933 | 791 | $6K | |
| 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 | 2.0% | 58 | 50 | $3K |
| 90756 | <1% | 60 | 41 | $324.33 | |
| 90674 | <1% | 50 | 32 | $237.04 | |
| 90688 | <1% | 29 | 23 | $159.94 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 13 | $69.07 |
| G0008 | Administration of influenza virus vaccine | <1% | 63 | 52 | $28.93 |
| 80061 | Lipid panel | <1% | 17 | 14 | $23.79 |
| 36415 | Collection of venous blood by venipuncture | <1% | 99 | 77 | $19.31 |
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 officialHALL, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hall Management Group, INC. | San Antonio, TX | $1.95M |
| J. Adam Hall Orthodontics, P.A. | Hot Springs, AR | $1.18M |
| Hall Management Group, INC. | San Antonio, TX | $278K |
| Anointed Nephrology & HTN PLLC | Brookhaven, MS | $214K |
| Hall Transportation | Monroe, LA | $169K |
| Confederated Tribes of the Umatilla Indian Reservation | Pendleton, OR | $16K |
| James T Hall DDS PLLC | Huntington, WV | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.