Providers
All 25 in TN
OTYLIA PRIMARY CARE, LLC
NPI 1437704079, organization, Memphis, TN, Family Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since December 6, 2022.
- Medicaid still paid claims in 21 later months, $36,734 in total.
score 95 of 100, rank 207, $37K at stake
Public list actions
Medicare revocation effective December 6, 2022, barred from re-enrolling until December 6, 2032
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Part B Supplier - Clinic/Group Practice, TN
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | Dec 6, 2022 | Dec 6, 2032 | 21 | Jan 2023 | Sep 2024 | $37K | $1K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | OTYLIA PRIMARY CARE, LLC |
| Type | Organization |
| Status | Active |
| NPI issued | August 8, 2019, last updated August 27, 2019 |
| Practice location | 4913 RALEIGH COMMON DR STE 201, Memphis, TN 38128-2485, 901-878-3366 |
| Authorized official | KRZYSZTOF TYSZKA (Owner) |
| Specialties | Family Medicine (207Q00000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $39K | 78% | $31 | $60 (top 5% from $133) | too few months to rank | |
| 96160 | Administration and interpretation of patient-focused health risk assessment | $7K | 13% | $9.21 | $2.01 (top 5% from $18) | too few months to rank | |
| 99497 | Advance care planning, first 30 minutes | $1K | 2% | $50 | $11 (top 5% from $62) | too few months to rank | |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $973 | 2% | $22 | $11 (top 5% from $25) | too few months to rank | |
| 99402 | Preventive counseling individual 30 min | $829 | 2% | $64 | $36 (top 5% from $131) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $524 | 1% | $31 | $44 (top 5% from $110) | too few months to rank | |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | $257 | 1% | $3.95 | $1.54 (top 5% from $9.17) | too few months to rank | |
| 87210 | Smear for infectious agents | $215 | 0% | $4.90 | $4.09 (top 5% from $13) | too few months to rank |
In this area
25 providers in Shelby County, TN carry an indicator in the public record, with $12.9M at stake between them. The most common is more hours than a day holds, on 12 of them, followed by named in an enforcement record on 8. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | POPLAR AVENUE CLINIC PLLC Memphis, TN, ranked 54 | $1.5M |
|
| 1 | SANJEEV KUMAR Memphis, TN, ranked 75 | $707K |
|
| 1 | WHAT ABOUT US IN HOME HEALTH CARE Memphis, TN, ranked 484 | $0 |
|
| 1 | ADVANCED FOOT & ANKLE CARE OF MEMPHIS, LLC Memphis, TN, ranked 498 | $0 |
|
| 1 | NAKITA CANNADY Bartlett, TN, ranked 568 | $0 |
|
| 1 | NATHAN LUCAS Memphis, TN, ranked 626 | $0 |
|
| 2 | NARICIA FUTRELL Millington, TN, ranked 715 | $893K |
|
| 3 | RANDE LAZAR Memphis, TN, ranked 1316 | $141K |
|
Recent enforcement in TN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 10, 2026
Celina Pharmacy Owner/Two Pharmacies Agree to Pay $450,000 & Receive Ban on Handling Controlled Substances
The defendants knowingly dispensed controlled substances without valid prescriptions and outside the usual course of professional pharmacy practice, and falsely billed Medicare for prescriptions that were not medically necessary or otherwise eligible for reimbursement.
DOJSentencedJul 8, 2026
Memphis Gynecologist Sentenced to 20 Years in Prison for Adulterating Medical Devices and Health Care Fraud
Kumar used adulterated and unlabeled single-use and improperly reprocessed reusable hysteroscopy devices in more than 15,000 hysteroscopy with biopsy procedures and billed Medicare and Medicaid for the procedures.
DOJSentencedJun 24, 2026
Celina Pharmacy Owner Sentenced for Opioid Distribution/Health Care Fraud
The majority owner of two pharmacies conspired to unlawfully dispense controlled substances despite red flags of abuse and diversion, submitted false claims to Medicare Part D and TennCare, and paid patient co-payments, cash, and "Monkey Bucks" to increase prescription volume.
DOJChargedJun 23, 2026
Clarksville Physician Charged with Health Care Fraud Related to Controlled Substance Prescribing Scheme
Aquino owned and operated North Clarksville Medical Center and for more than five years prescribed medically unnecessary controlled substances, totaling more than 1.08 million pills and doses, that were not issued for a legitimate medical purpose in the usual course of professional practice, causing losses of approximately $335,621.73 to health care benefit programs.
DOJIndictedJun 23, 2026
Gordonsville Physician Indicted on Health Care Fraud and Controlled Substance Charges
Moss owned and operated Gordonsville Clinic and prescribed medically unnecessary controlled substances, totaling more than 5.6 million pills and doses over more than eight years, that were not issued for a legitimate medical purpose in the usual course of professional practice.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.