Medicaid Provider Spending

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

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

NPI: 1184829368 · ALCOA, TN 37701 · Family 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

$547K
Total Medicaid Paid
12,839
Total Claims
11,396
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
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 PRIMARY CARE CENTER, INC. SEVIERVILLE TN $1.65M
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. SEYMOUR TN $522K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $352K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,873 $208K
2019 147 $10K
2020 606 $25K
2021 998 $69K
2022 1,266 $81K
2023 1,627 $92K
2024 1,322 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,891 5,234 $359K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,548 1,389 $103K
90460 Immunization administration through 18 years of age via any route, first or only component 825 737 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 129 115 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 143 132 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 602 540 $7K
92551 518 467 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 60 56 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 193 155 $4K
99177 539 478 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 351 307 $3K
96127 439 379 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 50 46 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 168 152 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 102 95 $2K
36416 488 399 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 104 91 $971.25
87081 353 311 $205.19
82465 13 12 $7.32
90686 181 167 $0.00
90688 49 46 $0.00
90716 12 12 $0.00
90670 40 38 $0.00
90633 29 26 $0.00
90707 12 12 $0.00