Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

NPI: 1194921874 · KNOXVILLE, TN 37916 · Pediatrics Physician · NPI assigned 06/21/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more

$2.57M
Total Medicaid Paid
49,048
Total Claims
41,887
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
NPI Enumeration Date06/21/2007

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 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. ALCOA TN $547K
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 8,181 $461K
2019 8,577 $464K
2020 6,359 $313K
2021 5,873 $279K
2022 5,737 $275K
2023 8,506 $447K
2024 5,815 $329K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,293 11,945 $959K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,084 11,034 $592K
94060 8,767 7,870 $285K
99215 Prolong outpt/office vis 2,127 1,846 $220K
99233 Prolong inpt eval add15 m 2,558 789 $164K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 818 715 $92K
94010 5,988 5,468 $92K
99232 Subsequent hospital care, per day, moderate complexity 1,365 447 $64K
99234 200 91 $25K
99243 203 163 $17K
99244 Office or other outpatient consultation, moderate to high complexity 90 83 $12K
99223 Prolong inpt eval add15 m 48 43 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 445 425 $7K
99239 Hospital discharge day management, more than 30 minutes 88 77 $7K
94774 35 27 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 53 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 112 108 $4K
99222 Initial hospital care, per day, moderate complexity 43 29 $4K
96160 163 157 $3K
99254 13 13 $2K
94777 60 28 $1K
94400 13 12 $499.69
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $494.04
94664 12 12 $184.89
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 12 12 $131.88
90378 443 425 $0.00