Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Clarksville › NPI 1194878629
Agency

State of Tennessee

State of Tennessee was paid $798K by Medicaid between Jan 2018 and Nov 2024, across 66 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 34% of everything it billed.

33Billing provider infoSTATE OF TENNESSEE
CLARKSVILLE, TN 37040
33aNPI1194878629assigned 01/19/2007
28Total paid$798K
24GClaims49,993
24DCodes billed66
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Public Health or Welfare Agency providers in Tennessee

Rank by total paid#10 of 109
Median peer was paid$121K
This provider vs. median6.6×

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 HALEY, ANNETTE controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
201814,140$264K
201910,724$170K
20207,070$94K
20216,791$106K
20224,767$68K
20233,374$51K
2024incomplete3,127$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 34% 5,486 5,090 $267K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.7% 1,825 1,643 $70K
99402 6.0% 1,010 866 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5.6% 3,012 2,599 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5.0% 1,048 924 $40K
99401 4.9% 1,468 1,273 $39K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.9% 554 514 $39K
99381 4.3% 444 427 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.3% 1,431 1,215 $34K
D1206 Topical application of fluoride varnish 2.8% 1,202 1,199 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.3% 2,001 1,863 $18K
81025 2.1% 3,754 3,217 $17K
54 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.5% 187 $12K
D0190 1.4% 1,004 $11K
92551 1.2% 1,412 $10K
99384 1.1% 87 $8K
36415 Collection of venous blood by venipuncture <1% 4,130 $7K
99383 <1% 74 $7K
90651 <1% 821 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 84 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 65 $6K
96127 <1% 1,447 $6K
99173 <1% 1,590 $5K
90716 <1% 858 $4K
D1120 Dental cleaning, child <1% 128 $4K
85018 <1% 1,266 $3K
36416 <1% 1,382 $3K
90707 <1% 840 $2K
90734 <1% 547 $2K
83655 <1% 167 $2K
0001A <1% 55 $2K
90715 <1% 1,010 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 18 $1K
D0120 Dental checkup, returning patient <1% 54 $1K
0002A <1% 42 $1K
99203 Doctor's office visit, new patient (routine) <1% 31 $1K
99382 <1% 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 145 $1K
D0150 Comprehensive oral evaluation - new or established patient <1% 60 $1K
99403 <1% 13 $950.70
D0274 Bitewings - four radiographic images <1% 43 $904.96
90670 <1% 1,039 $803.30
90688 <1% 374 $800.00
90686 <1% 320 $675.00
D0272 Bitewings - two radiographic images <1% 25 $444.72
99442 <1% 22 $362.73
99201 <1% 15 $333.69
87210 <1% 82 $306.28
94250 <1% 14 $264.44
90633 <1% 1,458 $254.56
90696 <1% 390 $235.85
90461 <1% 2,554 $112.60
90680 <1% 106 $77.60
90656 <1% 38 $72.27
90723 <1% 554 $71.48
90648 <1% 958 $59.49
90700 <1% 425 $44.76
90697 0% 27 $0.00
90619 0% 62 $0.00
99000 0% 30 $0.00
90674 0% 27 $0.00
D0140 Limited oral evaluation - problem focused 0% 34 $0.00
90671 0% 18 $0.00
90713 0% 208 $0.00
90710 0% 379 $0.00
D0220 Intraoral - periapical first radiographic image 0% 27 $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 officialHALEY, ANNETTE (REGIONAL DIRECTOR)
Same official

Other billing entities under HALEY, ANNETTE

Full network →
ProviderLocationPaid
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State of TennesseeDover, TN$78K
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State of TennesseeSpringfield, TN$55K
State of TennesseeGallatin, TN$40K
State of TennesseeWhite Bluff, TN$28K
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State of TennesseeFairview, TN$11K
State of TennesseePortland, TN$10K
State of TennesseeHartsville, TN$9K
State of TennesseeHendersonville, TN$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.