Clinic
Cherokee Health Systems
Cherokee Health Systems was paid $97.62M by Medicaid between Jan 2018 and Dec 2024, across 209 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 32% of everything it billed.
33Billing provider infoCHEROKEE HEALTH SYSTEMS
TALBOTT, TN 37877
TALBOTT, TN 37877
33aNPI1134128820assigned 07/15/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$97.62M
24GClaims2,388,739
24DCodes billed209
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#1 of 90
Median peer was paid$87K
This provider vs. median1,127×
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 KHATRI, PARINDA controls 17+ 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 | 249,144 | $10.81M | |
| 2019 | 277,024 | $10.20M | |
| 2020 | 248,560 | $10.79M | |
| 2021 | 348,102 | $13.02M | |
| 2022 | 438,726 | $18.50M | |
| 2023 | 478,639 | $20.60M | |
| 2024incomplete | 348,544 | $13.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 32% | 129,692 | 99,917 | $31.14M |
| 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 | 11% | 185,220 | 150,902 | $10.68M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 11% | 69,848 | 61,479 | $10.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 202,372 | 168,568 | $8.02M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.7% | 150,480 | 102,178 | $6.59M |
| G9002 | Coordinated care fee, maintenance rate | 5.9% | 126,823 | 98,080 | $5.80M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.2% | 83,888 | 57,378 | $5.05M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 130,669 | 67,804 | $3.16M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.9% | 26,897 | 21,105 | $2.87M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 54,305 | 45,118 | $2.11M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 2.0% | 31,237 | 4,662 | $1.92M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 17,641 | 15,734 | $1.27M |
197 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 19,126 | $1.20M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 16,918 | $1.19M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 8,898 | $704K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22,615 | $628K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 4,556 | $509K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 4,119 | $274K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18,539 | $244K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 3,343 | $203K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 6,166 | $193K |
| H0034 | Medication training and support, per 15 minutes | <1% | 19,279 | $177K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14,084 | $152K |
| G9001 | Coordinated care fee, initial rate | <1% | 2,306 | $150K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12,368 | $143K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,564 | $139K |
| 59426 | <1% | 265 | $135K | |
| D1206 | Topical application of fluoride varnish | <1% | 6,745 | $126K |
| 96156 | <1% | 2,432 | $112K | |
| D1120 | Dental cleaning, child | <1% | 3,459 | $107K |
| 36415 | Collection of venous blood by venipuncture | <1% | 48,673 | $105K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,085 | $97K |
| D1110 | Prophylaxis - adult | <1% | 2,397 | $94K |
| D0120 | Dental checkup, returning patient | <1% | 3,854 | $84K |
| D1351 | Sealant - per tooth | <1% | 4,923 | $84K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,041 | $78K |
| 99174 | <1% | 10,948 | $71K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 6,189 | $71K |
| 59430 | <1% | 665 | $67K | |
| 99381 | <1% | 811 | $60K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,091 | $57K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,718 | $56K |
| 92250 | <1% | 2,659 | $54K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 846 | $49K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | <1% | 465 | $49K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 905 | $48K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,035 | $47K |
| 90837 | Psychotherapy session, about an hour | <1% | 621 | $45K |
| D0330 | Panoramic radiographic image | <1% | 1,258 | $42K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,496 | $35K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,213 | $34K |
| D0272 | Bitewings - two radiographic images | <1% | 2,609 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 452 | $34K |
| 92015 | Determination of refractive state | <1% | 2,311 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 690 | $33K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 421 | $31K |
| 96130 | <1% | 632 | $31K | |
| 85018 | <1% | 12,515 | $30K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 615 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,098 | $28K |
| 81025 | <1% | 4,664 | $27K | |
| 3074F | <1% | 148,308 | $27K | |
| 99490 | Ccm add 20min | <1% | 4,858 | $26K |
| 92558 | <1% | 8,025 | $26K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,212 | $23K |
| 90686 | <1% | 20,884 | $23K | |
| 92552 | <1% | 1,342 | $23K | |
| 90688 | <1% | 4,195 | $23K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,325 | $23K |
| 90715 | <1% | 1,023 | $23K | |
| 3008F | <1% | 179,934 | $22K | |
| 3078F | <1% | 129,560 | $20K | |
| 92551 | <1% | 2,846 | $20K | |
| 96167 | <1% | 494 | $20K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 883 | $19K |
| 0012A | <1% | 516 | $18K | |
| 81003 | <1% | 20,934 | $18K | |
| 99484 | <1% | 478 | $17K | |
| 0011A | <1% | 513 | $16K | |
| G0467 | Community health center visit, returning patient | <1% | 3,178 | $16K |
| 96150 | <1% | 1,335 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 831 | $13K |
| 96136 | <1% | 550 | $12K | |
| 90651 | <1% | 3,322 | $12K | |
| 96158 | <1% | 304 | $12K | |
| 3079F | <1% | 38,668 | $11K | |
| 90677 | <1% | 2,158 | $10K | |
| D2140 | <1% | 171 | $10K | |
| 91322 | <1% | 143 | $10K | |
| 0031A | <1% | 298 | $9K | |
| 99173 | <1% | 1,996 | $9K | |
| 36416 | <1% | 7,162 | $8K | |
| 80305 | <1% | 1,091 | $8K | |
| 90480 | <1% | 342 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 102 | $8K |
| 96137 | <1% | 298 | $8K | |
| 3075F | <1% | 10,890 | $7K | |
| 87807 | <1% | 569 | $7K | |
| 83655 | <1% | 529 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 133 | $6K |
| 90670 | <1% | 9,361 | $6K | |
| 90656 | <1% | 655 | $6K | |
| 90678 | <1% | 36 | $6K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 71 | $5K |
| 96101 | <1% | 230 | $5K | |
| 3077F | <1% | 5,488 | $5K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 34 | $4K |
| 98967 | <1% | 268 | $3K | |
| 0072A | <1% | 90 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 195 | $3K |
| 80061 | Lipid panel | <1% | 193 | $3K |
| 90716 | <1% | 3,839 | $3K | |
| 59025 | Fetal non-stress test | <1% | 96 | $3K |
| V2020 | Frames, purchases | <1% | 246 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 74 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $2K |
| 92587 | <1% | 91 | $2K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 615 | $2K |
| 90723 | <1% | 9,954 | $2K | |
| D0190 | <1% | 311 | $2K | |
| 90461 | <1% | 14,679 | $2K | |
| 0071A | <1% | 56 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 57 | $2K |
| 90619 | <1% | 734 | $2K | |
| 90734 | <1% | 1,059 | $2K | |
| 90785 | <1% | 764 | $2K | |
| 98966 | <1% | 241 | $1K | |
| 82465 | <1% | 621 | $1K | |
| 0064A | <1% | 42 | $1K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 175 | $1K |
| 96131 | <1% | 19 | $1K | |
| 96154 | <1% | 126 | $1K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 245 | $1K |
| 90680 | <1% | 3,684 | $1K | |
| 99382 | <1% | 14 | $1K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 79 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 166 | $1K |
| 90707 | <1% | 3,703 | $1K | |
| D1354 | <1% | 120 | $951.94 | |
| 90473 | <1% | 132 | $865.61 | |
| 0081A | <1% | 22 | $831.35 | |
| 90647 | <1% | 8,231 | $823.46 | |
| 90474 | <1% | 158 | $813.12 | |
| 90671 | <1% | 712 | $788.30 | |
| 3080F | <1% | 1,277 | $740.00 | |
| T1016 | Case management, each 15 minutes | <1% | 60 | $616.00 |
| 96127 | <1% | 139 | $572.66 | |
| 90633 | <1% | 4,439 | $569.08 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 48 | $522.22 |
| 87070 | <1% | 71 | $510.95 | |
| 0051A | <1% | 13 | $480.00 | |
| 0052A | <1% | 12 | $480.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 36 | $408.00 |
| 99605 | <1% | 20 | $375.00 | |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 119 | $352.10 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 55 | $308.77 |
| 82570 | <1% | 93 | $258.00 | |
| 82044 | <1% | 56 | $201.03 | |
| 90620 | <1% | 15 | $200.00 | |
| 94760 | <1% | 409 | $106.84 | |
| 88720 | <1% | 21 | $75.84 | |
| 91301 | <1% | 1,167 | $73.88 | |
| 90700 | <1% | 462 | $52.30 | |
| 99408 | <1% | 7,590 | $46.68 | |
| D0350 | <1% | 210 | $40.16 | |
| 99442 | <1% | 348 | $30.33 | |
| 3044F | <1% | 2,131 | $20.00 | |
| 2022F | <1% | 21 | $10.00 | |
| T2002 | Non-emergency transportation; per diem | <1% | 156 | $7.20 |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 60,192 | $4.03 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 22,351 | $0.88 |
| G9004 | Coordinated care fee, risk adjusted low, initial | <1% | 42,592 | $0.80 |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 16 | $0.59 |
| G9006 | Coordinated care fee, home monitoring | <1% | 2,982 | $0.29 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | <1% | 8,236 | $0.24 |
| 4037F | 0% | 24,545 | $0.00 | |
| 90674 | 0% | 1,817 | $0.00 | |
| 0501F | 0% | 424 | $0.00 | |
| 90696 | 0% | 379 | $0.00 | |
| 2023F | 0% | 2,161 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 1,016 | $0.00 |
| 99441 | 0% | 87 | $0.00 | |
| D1310 | 0% | 159 | $0.00 | |
| 91307 | 0% | 189 | $0.00 | |
| 91306 | 0% | 42 | $0.00 | |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 23 | $0.00 |
| 91305 | 0% | 150 | $0.00 | |
| 91303 | 0% | 298 | $0.00 | |
| 99443 | 0% | 15 | $0.00 | |
| D9995 | 0% | 79 | $0.00 | |
| 59410 | 0% | 17 | $0.00 | |
| 90657 | 0% | 73 | $0.00 | |
| D1330 | 0% | 146 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 16 | $0.00 |
| 90381 | 0% | 18 | $0.00 | |
| 0502F | 0% | 18,812 | $0.00 | |
| 90681 | 0% | 1,081 | $0.00 | |
| 90685 | 0% | 570 | $0.00 | |
| 90672 | 0% | 284 | $0.00 | |
| 92588 | 0% | 140 | $0.00 | |
| 90661 | 0% | 1,227 | $0.00 | |
| 99080 | 0% | 325 | $0.00 | |
| 90687 | 0% | 104 | $0.00 | |
| D9996 | 0% | 188 | $0.00 | |
| 90380 | 0% | 35 | $0.00 | |
| 91321 | 0% | 30 | $0.00 | |
| 91308 | 0% | 24 | $0.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 22 | $0.00 |
| 90658 | 0% | 14 | $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 officialKHATRI, PARINDA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cherokee Health Systems | Knoxville, TN | $4.66M |
| Cherokee Health Systems | Knoxville, TN | $591K |
| Cherokee Health Systems | Alcoa, TN | $375K |
| Cherokee Health Systems | Morristown, TN | $264K |
| Cherokee Health Systems | Knoxville, TN | $238K |
| Cherokee Health Systems | Chattanooga, TN | $196K |
| Cherokee Health Systems | Seymour, TN | $196K |
| Cherokee Health Systems | New Tazewell, TN | $185K |
| Cherokee Health Systems | Blaine, TN | $166K |
| Cherokee Health Systems | Lenoir City, TN | $140K |
| Cherokee Health Systems | Maynardville, TN | $133K |
| Cherokee Health Systems | Clinton, TN | $128K |
| Cherokee Health Systems | Knoxville, TN | $123K |
| Cherokee Health Systems | Englewood, TN | $62K |
| Cherokee Health Systems | Newport, TN | $38K |
| Cherokee Health Systems | Washburn, TN | $25K |
| Cherokee Health Systems | Knoxville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.