Clinic
Cherokee Health Systems
Cherokee Health Systems was paid $4.66M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 89% of everything it billed.
33Billing provider infoCHEROKEE HEALTH SYSTEMS
KNOXVILLE, TN 37921
KNOXVILLE, TN 37921
33aNPI1174760920assigned 01/15/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.66M
24GClaims110,968
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#7 of 90
Median peer was paid$87K
This provider vs. median54×
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 | 10,292 | $440K | |
| 2019 | 16,083 | $583K | |
| 2020 | 18,713 | $842K | |
| 2021 | 12,509 | $673K | |
| 2022 | 16,607 | $758K | |
| 2023 | 23,374 | $803K | |
| 2024incomplete | 13,390 | $566K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 89% | 28,057 | 23,978 | $4.14M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 4,299 | 3,320 | $134K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 2,219 | 1,617 | $109K |
| 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 | 1.7% | 3,195 | 2,707 | $81K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit | 1.2% | 4,483 | 3,750 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 884 | 746 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,522 | 1,253 | $24K |
| 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% | 4,412 | 4,039 | $18K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 239 | 177 | $17K |
| 3008F | <1% | 2,070 | 1,785 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 91 | 73 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 550 | 436 | $7K |
37 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 148 | $5K |
| 3074F | <1% | 991 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $3K |
| 3078F | <1% | 723 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 18 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 89 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,117 | $1K |
| 90686 | <1% | 503 | $1K | |
| 90785 | <1% | 46 | $573.76 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $491.10 |
| 3079F | <1% | 141 | $390.00 | |
| 92551 | <1% | 30 | $249.11 | |
| 80061 | Lipid panel | <1% | 14 | $210.42 |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 20,054 | $177.10 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 8,969 | $176.84 |
| 80053 | Comprehensive metabolic panel | <1% | 14 | $166.04 |
| 80305 | <1% | 16 | $128.95 | |
| 81025 | <1% | 12 | $93.96 | |
| 99442 | <1% | 34 | $74.70 | |
| 92015 | Determination of refractive state | <1% | 17 | $34.66 |
| 99173 | <1% | 12 | $30.00 | |
| 99443 | <1% | 13 | $29.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $28.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 30 | $5.42 |
| 92250 | <1% | 37 | $2.94 | |
| 81003 | <1% | 31 | $2.51 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 16 | $0.57 |
| G9004 | Coordinated care fee, risk adjusted low, initial | <1% | 19,606 | $0.12 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | <1% | 3,828 | $0.03 |
| G9006 | Coordinated care fee, home monitoring | 0% | 557 | $0.00 |
| 4037F | 0% | 474 | $0.00 | |
| 90688 | 0% | 36 | $0.00 | |
| 90461 | 0% | 76 | $0.00 | |
| 0502F | 0% | 67 | $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 | Talbott, TN | $97.62M |
| 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.