Medicaid Provider Spending

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

STATE OF TENNESSEE

NPI: 1205989027 · HARTSVILLE, TN 37074 · Public Health or Welfare Agency · NPI assigned 01/18/2007

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

Authorized official HALEY, ANNETTE controls 16+ related entities in our dataset. Read more

$9K
Total Medicaid Paid
605
Total Claims
580
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHALEY, ANNETTE (REGIONAL DIRECTOR)
NPI Enumeration Date01/18/2007

Related Entities

Other providers sharing the same authorized official: HALEY, ANNETTE

ProviderCityStateTotal Paid
STATE OF TENNESSEE CLARKSVILLE TN $798K
STATE OF TENNESSEE MURFREESBORO TN $308K
STATE OF TENNESSEE DICKSON TN $234K
STATE OF TENNESSEE FRANKLIN TN $162K
STATE OF TENNESSEE SMYRNA TN $132K
STATE OF TENNESSEE LEBANON TN $91K
STATE OF TENNESSEE DOVER TN $78K
STATE OF TENNESSEE ASHLAND CITY TN $60K
STATE OF TENNESSEE SPRINGFIELD TN $55K
STATE OF TENNESSEE GALLATIN TN $40K
STATE OF TENNESSEE WHITE BLUFF TN $28K
STATE OF TENNESSEE ERIN TN $23K
STATE OF TENNESSEE WAVERLY TN $16K
STATE OF TENNESSEE FAIRVIEW TN $11K
STATE OF TENNESSEE PORTLAND TN $10K
STATE OF TENNESSEE HENDERSONVILLE TN $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 238 $3K
2019 164 $2K
2021 63 $711.22
2022 38 $600.55
2023 70 $1K
2024 32 $770.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 315 298 $8K
90688 202 198 $360.00
99401 17 13 $356.58
90686 43 43 $45.00
90674 15 15 $0.00
90461 13 13 $0.00