Hospital
Wellmont Health System
Wellmont Health System was paid $1.90M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99284, emergency room visit (serious) — 53% of everything it billed.
33Billing provider infoWELLMONT HEALTH SYSTEM
SNEEDVILLE, TN 37869
SNEEDVILLE, TN 37869
33aNPI1053340158assigned 07/01/2006
33bProvider typeCritical Access Hospital
28Total paid$1.90M
24GClaims31,880
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Tennessee
Rank by total paid#7 of 15
Median peer was paid$1.48M
This provider vs. median1.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,046 | $263K | |
| 2019 | 5,209 | $215K | |
| 2020 | 2,832 | $155K | |
| 2021 | 5,464 | $330K | |
| 2022 | 5,411 | $415K | |
| 2023 | 4,433 | $330K | |
| 2024incomplete | 2,485 | $195K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 53% | 4,686 | 4,154 | $1.01M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 20% | 1,877 | 1,484 | $384K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 1,722 | 1,494 | $253K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 6.7% | 1,373 | 1,255 | $128K |
| 80053 | Comprehensive metabolic panel | 1.5% | 4,101 | 3,313 | $29K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 5,456 | 4,106 | $25K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 210 | 181 | $13K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,660 | 4,100 | $9K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 811 | 610 | $8K |
| 84484 | <1% | 881 | 608 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 689 | 385 | $7K |
| G0378 | Hospital observation service, per hour | <1% | 56 | 28 | $4K |
26 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 106 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 439 | $3K |
| 83735 | <1% | 769 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 415 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 173 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 176 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 92 | $2K |
| 81001 | <1% | 751 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 132 | $1K |
| 83880 | <1% | 186 | $1K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 17 | $1K |
| 87081 | <1% | 116 | $1K | |
| 80076 | <1% | 87 | $732.86 | |
| 83690 | <1% | 120 | $675.79 | |
| 87040 | <1% | 155 | $353.95 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 24 | $267.46 |
| 85652 | <1% | 77 | $236.88 | |
| 85730 | <1% | 49 | $185.21 | |
| 83605 | <1% | 35 | $146.75 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 14 | $136.88 |
| 85610 | <1% | 50 | $120.90 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 27 | $98.07 |
| 81003 | <1% | 31 | $64.81 | |
| 81025 | <1% | 13 | $33.60 | |
| 94760 | <1% | 27 | $15.66 | |
| A9270 | Non-covered item or service | 0% | 277 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.