Rheumatology Consultants, PLLC

Rheumatology Consultants, PLLC was paid $2K by Medicaid between Feb 2018 and Jun 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoRHEUMATOLOGY CONSULTANTS, PLLC
KNOXVILLE, TN 37909

33aNPI1922143429assigned 02/21/2007

33bProvider typeRheumatology Physician

28Total paid$2K

24GClaims254

24DCodes billed2

24AFirst – last monthFeb 2018 – Jun 2023

Compared with peers

Next to other Rheumatology Physician providers in Tennessee

Rank by total paid#15 of 18

Median peer was paid$11K

This provider vs. median0.2×

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	73	$991.68
2019	26	$135.35
2020	60	$626.32
2021	41	$26.64
2022	39	$209.04
2023	15	$7.78

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	95%	82	74	$2K
36415	Collection of venous blood by venipuncture	5.5%	172	155	$109.76

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 officialWARRICK, JAY (VICE CHIEF MANAGER)