Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

NPI: 1043415227 · SEVIERVILLE, TN 37876 · Pediatric Nurse Practitioner · NPI assigned 06/18/2007

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

Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more

$1.65M
Total Medicaid Paid
46,290
Total Claims
38,614
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
NPI Enumeration Date06/18/2007

Related Entities

Other providers sharing the same authorized official: ROSENDAHL, ANDREW

ProviderCityStateTotal Paid
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $88.61M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $31.61M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $3.45M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $2.57M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. OAK RIDGE TN $2.38M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.83M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.58M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $1.42M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.03M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $990K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $883K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $724K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. LA FOLLETTE TN $694K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. CLINTON TN $671K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $654K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. ALCOA TN $547K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEYMOUR TN $522K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $352K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,211 $514K
2019 2,543 $119K
2020 1,768 $66K
2021 5,033 $195K
2022 6,469 $260K
2023 6,339 $283K
2024 5,927 $212K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,065 8,151 $634K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,099 2,587 $281K
90460 Immunization administration through 18 years of age via any route, first or only component 4,043 3,357 $179K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,667 1,536 $176K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,869 4,473 $92K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 967 833 $73K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 353 295 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 534 473 $24K
54150 111 97 $22K
96161 1,664 1,379 $16K
92551 1,273 1,093 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,373 1,210 $12K
99460 212 189 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 241 214 $10K
99177 1,879 1,641 $10K
80061 Lipid panel 462 417 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 472 408 $7K
99238 Hospital discharge day management, 30 minutes or less 133 113 $7K
96127 913 672 $6K
36416 2,396 1,841 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 406 359 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 228 228 $4K
90472 Immunization administration, each additional vaccine (list separately) 132 132 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 85 73 $4K
99463 30 28 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 220 167 $2K
81003 778 696 $2K
83655 127 114 $2K
82247 281 131 $1K
3008F 2,626 2,320 $1K
90677 285 268 $298.04
87807 33 28 $295.92
90670 858 806 $257.99
90723 642 601 $70.72
90680 541 509 $44.49
36415 Collection of venous blood by venipuncture 16 12 $27.50
90686 242 218 $22.35
90647 577 539 $17.06
90633 213 189 $0.00
90707 73 67 $0.00
90685 96 81 $0.00
90716 75 69 $0.00