Physician
Memphis Lung Physicians Foundation, INC.
Memphis Lung Physicians Foundation, INC. was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.
33Billing provider infoMEMPHIS LUNG PHYSICIANS FOUNDATION, INC.
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
33aNPI1811279656assigned 09/19/2011
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$1.31M
24GClaims64,155
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Tennessee
Rank by total paid#1 of 35
Median peer was paid$17K
This provider vs. median78×
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.
Entity ProliferationAuthorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more
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 | 11,304 | $226K | |
| 2019 | 11,908 | $270K | |
| 2020 | 10,283 | $257K | |
| 2021 | 9,333 | $224K | |
| 2022 | 7,278 | $142K | |
| 2023 | 7,824 | $113K | |
| 2024incomplete | 6,225 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 42% | 23,528 | 9,312 | $546K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 19,337 | 9,692 | $301K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 18% | 3,804 | 2,102 | $232K |
| 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 | 6.6% | 3,384 | 2,913 | $87K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 1,184 | 1,068 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 1,311 | 1,137 | $21K |
| 94375 | 1.5% | 2,776 | 2,378 | $20K | |
| 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 | 1.2% | 326 | 265 | $16K |
| 94729 | <1% | 1,457 | 1,227 | $10K | |
| 94060 | <1% | 674 | 578 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 34 | 28 | $2K |
| 94726 | <1% | 312 | 278 | $1K |
15 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 61 | $618.14 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $572.10 |
| 90686 | <1% | 67 | $480.56 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 45 | $474.60 |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 15 | $365.43 |
| 3074F | <1% | 1,519 | $320.00 | |
| 3078F | <1% | 1,241 | $250.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 22 | $90.89 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 17 | $76.05 |
| 3079F | <1% | 361 | $60.00 | |
| 1159F | <1% | 2,067 | $0.02 | |
| 1160F | 0% | 303 | $0.00 | |
| 3008F | 0% | 210 | $0.00 | |
| 3075F | 0% | 72 | $0.00 | |
| 1126F | 0% | 14 | $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 officialDUCKETT, GREGORY (SR VP/ CLO)
Parent organizationBAPTIST MEMORIAL HEALTH CARE CORP.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.