Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

East Tennessee Children's Hospital Association INC.

East Tennessee Children's Hospital Association INC. was paid $76K by Medicaid between Nov 2021 and Oct 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 61% of everything it billed.

33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
KNOXVILLE, TN 37916
33aNPI1003494352assigned 03/30/2021
33bProvider typePediatrics Physician
28Total paid$76K
24GClaims930
24DCodes billed4
24AFirst – last monthNov 2021 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#196 of 333
Median peer was paid$139K
This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202115$1K
2022130$11K
2023542$45K
2024incomplete243$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61% 545 456 $47K
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 34% 321 250 $26K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.5% 52 47 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 12 12 $805.22

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 officialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent organizationEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
Same official

Other billing entities under ROSENDAHL, ANDREW

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.