Clinic
West Tennessee Kidney Specialists P.C.
West Tennessee Kidney Specialists P.C. was paid $491K by Medicaid between Jan 2018 and Feb 2024, across 14 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 50% of everything it billed.
33Billing provider infoWEST TENNESSEE KIDNEY SPECIALISTS P.C.
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1821291543assigned 06/08/2007
33bProvider typeMedical Specialty Clinic/Center
28Total paid$491K
24GClaims26,461
24DCodes billed14
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Tennessee
Rank by total paid#2 of 15
Median peer was paid$56K
This provider vs. median8.8×
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 | 8,138 | $147K | |
| 2019 | 5,909 | $137K | |
| 2020 | 4,718 | $93K | |
| 2021 | 3,498 | $55K | |
| 2022 | 2,745 | $33K | |
| 2023 | 1,370 | $23K | |
| 2024incomplete | 83 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 50% | 8,017 | 7,711 | $245K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 9,214 | 3,597 | $106K |
| 90961 | 8.1% | 1,643 | 1,587 | $40K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 6.2% | 2,599 | 1,351 | $31K |
| 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 | 3.8% | 1,225 | 1,145 | $19K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 636 | 591 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 410 | 389 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 389 | 242 | $8K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.2% | 1,014 | 642 | $6K |
| 90962 | <1% | 108 | 106 | $4K | |
| 99221 | <1% | 276 | 250 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 103 | 88 | $3K |
2 more codes
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 officialCHARY, KANDALA (REGISTERED AGENT)