Kidney Care Clinic PLLC
Kidney Care Clinic PLLC was paid $4K by Medicaid between Feb 2022 and Nov 2024, across 6 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 — 54% of everything it billed.
33Billing provider infoKIDNEY CARE CLINIC PLLC
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1932779170assigned 06/29/2021
33bProvider typePediatric Nutrition Registered Dietitian
28Total paid$4K
24GClaims711
24DCodes billed6
24AFirst – last monthFeb 2022 – Nov 2024
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 | |
|---|---|---|---|
| 2022 | 188 | $539.26 | |
| 2023 | 305 | $3K | |
| 2024incomplete | 218 | $632.63 |
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 | 54% | 181 | 99 | $2K |
| 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 | 27% | 186 | 94 | $1K |
| 99457 | 15% | 274 | 175 | $627.66 | |
| 99458 | 2.9% | 24 | 12 | $120.21 | |
| 99454 | 1.2% | 17 | 12 | $49.32 | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 0% | 29 | 13 | $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 officialBRIFKANI, ZAID (AUTHORIZED OFFICIAL)