Physician
Downtown West Medical Center, PLLC
Downtown West Medical Center, PLLC was paid $1K by Medicaid between Jan 2019 and Mar 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoDOWNTOWN WEST MEDICAL CENTER, PLLC
KNOXVILLE, TN 37919
KNOXVILLE, TN 37919
33aNPI1558825125assigned 01/28/2019
33bProvider typeAdult Medicine Physician
28Total paid$1K
24GClaims1,175
24DCodes billed6
24AFirst – last monthJan 2019 – Mar 2020
Compared with peers
Next to other Adult Medicine Physician providers in Tennessee
Rank by total paid#15 of 15
Median peer was paid$40K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 885 | $452.24 | |
| 2020 | 290 | $759.98 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 281 | 234 | $505.81 |
| 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 | 39% | 304 | 264 | $476.83 |
| 94760 | 19% | 541 | 435 | $229.58 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 16 | 12 | $0.00 |
| 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 | 0% | 20 | 17 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialINCANDELA, FRAN (ADMIN)