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

East Tennessee Healthcare Holdings INC

East Tennessee Healthcare Holdings INC was paid $3.30M by Medicaid between Oct 2020 and Dec 2024, across 12 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 95% of everything it billed.

33Billing provider infoEAST TENNESSEE HEALTHCARE HOLDINGS INC
GRAY, TN 37615
33aNPI1033624853assigned 12/04/2017
33bProvider typeMethadone Clinic
28Total paid$3.30M
24GClaims171,985
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Methadone Clinic providers in Tennessee

Rank by total paid#4 of 11
Median peer was paid$1.67M
This provider vs. median2.0×

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 HILTON, SHANE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20202,288$48K
202125,465$560K
202246,452$848K
202352,263$1.02M
2024incomplete45,517$826K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 95% 58,297 6,915 $3.12M
S0109 Methadone, oral, 5 mg 3.3% 57,509 6,897 $108K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 642 428 $30K
80305 <1% 2,210 844 $27K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) <1% 56 28 $8K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 6,287 713 $4K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 21,765 4,775 $325.11
H0049 Alcohol and/or drug screening <1% 271 34 $144.00
G2079 Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 8,442 1,625 $74.95
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs 0% 15,519 5,159 $0.00
G2077 Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 0% 947 495 $0.00
G2080 Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 0% 40 25 $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 officialHILTON, SHANE (EVP/CFO)
Same official

Other billing entities under HILTON, SHANE

Full network →
ProviderLocationPaid
Johnston Memorial Hospital, INCAbingdon, VA$35.91M
Wellmont Health SystemBig Stone Gap, VA$33.71M
Mountain States Health AllianceJohnson City, TN$31.31M
Wellmont Medical Associates INCKingsport, TN$27.84M
Wellmont Health SystemBristol, TN$27.35M
Takoma Regional Hospital INCGreeneville, TN$20.22M
Wellmont Health SystemKingsport, TN$17.64M
Mountain States Health AllianceKingsport, TN$15.47M
Smyth County Community HospitalMarion, VA$15.33M
Mountain States Health AllianceLebanon, VA$11.37M
Mountain States Health AlliancePennington Gap, VA$8.28M
Mountain States Health AllianceJohnson City, TN$8.14M
Mountain States Health AllianceElizabethton, TN$7.25M
Dickenson Community Hospital, INC.Clintwood, VA$6.94M
Wellmont Hawkins County Memorial Hospital INCRogersville, TN$5.11M
Mountain States Health AllianceMountain City, TN$3.03M
Wellmont Health SystemSneedville, TN$1.90M
Mountain States Health AllianceErwin, TN$1.48M
Wilson Pharmacy INCJohnson City, TN$1.26M
Mountain States Health AllianceNorton, VA$376K

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