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

Nurturing Independence INC

Nurturing Independence INC was paid $5.85M by Medicaid between Dec 2019 and Aug 2024, across 2 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 98% of everything it billed.

33Billing provider infoNURTURING INDEPENDENCE INC
KNOXVILLE, TN 37923
33aNPI1104353689assigned 05/16/2017
28Total paid$5.85M
24GClaims6,452
24DCodes billed2
24AFirst – last monthDec 2019 – Aug 2024
Compared with peers

Next to other In Home Supportive Care Agency providers in Tennessee

Rank by total paid#35 of 144
Median peer was paid$2.39M
This provider vs. median2.4×

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.

Single-Code Concentration98% of spending on code T2033 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
2019171$66K
20201,798$982K
20211,667$1.18M
20221,149$1.31M
20231,186$1.50M
2024incomplete481$816K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 98% 5,269 966 $5.73M
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 2.2% 1,183 191 $127K

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 officialWALTER, JESSICA (OWNER)