Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STATE OF TENNESSEE

NPI: 1003090036 · PORTLAND, TN 37148 · Public Health or Welfare Agency · NPI assigned 12/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HALEY, ANNETTE controls 16+ related entities in our dataset. Read more

$10K
Total Medicaid Paid
495
Total Claims
449
Beneficiaries
5
Codes Billed
2018-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHALEY, ANNETTE (REGIONAL DIRECTOR)
NPI Enumeration Date12/27/2007

Related Entities

Other providers sharing the same authorized official: HALEY, ANNETTE

ProviderCityStateTotal Paid
STATE OF TENNESSEE CLARKSVILLE TN $798K
STATE OF TENNESSEE MURFREESBORO TN $308K
STATE OF TENNESSEE DICKSON TN $234K
STATE OF TENNESSEE FRANKLIN TN $162K
STATE OF TENNESSEE SMYRNA TN $132K
STATE OF TENNESSEE LEBANON TN $91K
STATE OF TENNESSEE DOVER TN $78K
STATE OF TENNESSEE ASHLAND CITY TN $60K
STATE OF TENNESSEE SPRINGFIELD TN $55K
STATE OF TENNESSEE GALLATIN TN $40K
STATE OF TENNESSEE WHITE BLUFF TN $28K
STATE OF TENNESSEE ERIN TN $23K
STATE OF TENNESSEE WAVERLY TN $16K
STATE OF TENNESSEE FAIRVIEW TN $11K
STATE OF TENNESSEE HARTSVILLE TN $9K
STATE OF TENNESSEE HENDERSONVILLE TN $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $395.25
2019 83 $3K
2020 64 $1K
2021 85 $891.18
2022 82 $1K
2023 86 $2K
2024 83 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 232 213 $9K
99401 13 12 $402.98
90715 87 80 $112.83
81025 15 13 $66.42
90461 148 131 $0.00