State of Tennessee
State of Tennessee was paid $177K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 40% of everything it billed.
SHELBYVILLE, TN 37160
Next to other Public Health or Welfare Agency providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,241 | $51K | |
| 2019 | 3,991 | $59K | |
| 2020 | 1,430 | $24K | |
| 2021 | 882 | $16K | |
| 2022 | 967 | $14K | |
| 2023 | 695 | $8K | |
| 2024incomplete | 456 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 40% | 1,763 | 1,654 | $70K |
| 99401 | 15% | 990 | 886 | $27K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 216 | 189 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 225 | 208 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.7% | 1,197 | 1,092 | $10K |
| 99381 | 4.9% | 120 | 108 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.0% | 490 | 445 | $7K |
| 81025 | 2.7% | 1,071 | 955 | $5K | |
| 83655 | 2.3% | 423 | 360 | $4K | |
| 92551 | 1.3% | 320 | 276 | $2K | |
| 0001A | 1.0% | 54 | 51 | $2K | |
| 85018 | <1% | 714 | 621 | $2K |
23 more codes
| 99383 | <1% | 14 | $1K | |
| 90715 | <1% | 436 | $1K | |
| 0002A | <1% | 30 | $1K | |
| 36416 | <1% | 716 | $1K | |
| 99173 | <1% | 321 | $821.86 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 71 | $681.21 |
| 99402 | <1% | 15 | $639.68 | |
| 96127 | <1% | 164 | $611.13 | |
| 90651 | <1% | 207 | $554.55 | |
| D1206 | Topical application of fluoride varnish | <1% | 109 | $553.50 |
| 90734 | <1% | 212 | $450.40 | |
| 90686 | <1% | 383 | $375.00 | |
| D0190 | <1% | 110 | $336.00 | |
| 99177 | <1% | 42 | $318.27 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $290.62 |
| 36415 | Collection of venous blood by venipuncture | <1% | 113 | $192.48 |
| 90707 | <1% | 88 | $75.30 | |
| 90716 | <1% | 108 | $65.33 | |
| 90461 | <1% | 784 | $45.04 | |
| 90696 | 0% | 27 | $0.00 | |
| 90619 | 0% | 55 | $0.00 | |
| 90688 | 0% | 38 | $0.00 | |
| 91300 | 0% | 21 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Lawrenceburg, TN | $402K |
| State of Tennessee | Waynesboro, TN | $283K |
| State of Tennessee | Fayetteville, TN | $256K |
| State of Tennessee | Columbia, TN | $245K |
| State of Tennessee | Lewisburg, TN | $240K |
| State of Tennessee | Pulaski, TN | $176K |
| State of Tennessee | Tullahoma, TN | $121K |
| State of Tennessee | Manchester, TN | $100K |
| State of Tennessee | Hohenwald, TN | $89K |
| State of Tennessee | Centerville, TN | $66K |
| State of Tennessee | Linden, TN | $26K |
| State of Tennessee | Lynchburg, TN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.