Agency
Knox County Goverment
Knox County Goverment was paid $2.62M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 36% of everything it billed.
33Billing provider infoKNOX COUNTY GOVERMENT
KNOXVILLE, TN 37917
KNOXVILLE, TN 37917
33aNPI1225305600assigned 11/29/2011
33bProvider typePublic Health or Welfare Agency
28Total paid$2.62M
24GClaims163,135
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#5 of 109
Median peer was paid$121K
This provider vs. median22×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 38,226 | $426K | |
| 2019 | 31,441 | $486K | |
| 2020 | 17,098 | $305K | |
| 2021 | 16,419 | $297K | |
| 2022 | 24,583 | $367K | |
| 2023 | 20,668 | $425K | |
| 2024incomplete | 14,700 | $314K |
Box 24 · Service lines
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 | 36% | 21,328 | 17,177 | $940K |
| 99401 | 15% | 15,013 | 12,491 | $393K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 10% | 5,836 | 5,089 | $267K |
| 99402 | 5.7% | 3,448 | 2,937 | $149K | |
| 90473 | 3.9% | 6,673 | 6,380 | $102K | |
| 90651 | 3.6% | 4,156 | 3,631 | $93K | |
| 90697 | 2.6% | 1,234 | 986 | $67K | |
| 90677 | 2.4% | 893 | 741 | $63K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 5,503 | 4,392 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 1,646 | 1,451 | $53K |
| 81025 | 1.8% | 8,992 | 7,740 | $47K | |
| 90715 | 1.4% | 5,037 | 4,350 | $37K |
56 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 438 | $35K |
| 90734 | 1.2% | 3,083 | $33K | |
| 90632 | 1.2% | 664 | $30K | |
| 90716 | <1% | 3,091 | $22K | |
| 90686 | <1% | 3,690 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 645 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,079 | $17K |
| 90670 | <1% | 4,651 | $17K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,256 | $15K |
| 90707 | <1% | 3,037 | $15K | |
| 87808 | <1% | 3,201 | $14K | |
| 90461 | <1% | 13,944 | $13K | |
| 90619 | <1% | 478 | $11K | |
| 90672 | <1% | 7,860 | $11K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 199 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,021 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 746 | $8K |
| 90710 | <1% | 1,503 | $6K | |
| 87210 | <1% | 1,910 | $6K | |
| 99403 | <1% | 80 | $5K | |
| 90746 | <1% | 98 | $4K | |
| 90674 | <1% | 400 | $3K | |
| 90633 | <1% | 4,712 | $3K | |
| 90723 | <1% | 2,670 | $2K | |
| 90656 | <1% | 205 | $2K | |
| 90691 | <1% | 46 | $2K | |
| 90696 | <1% | 1,723 | $2K | |
| 99384 | <1% | 17 | $2K | |
| 90680 | <1% | 2,420 | $2K | |
| 91322 | <1% | 16 | $1K | |
| 99385 | <1% | 16 | $1K | |
| 90688 | <1% | 140 | $1K | |
| 90713 | <1% | 655 | $1K | |
| 90647 | <1% | 3,488 | $991.56 | |
| 90717 | <1% | 18 | $984.62 | |
| 90700 | <1% | 2,290 | $947.11 | |
| 90682 | <1% | 28 | $877.10 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $818.67 |
| 99201 | <1% | 34 | $812.26 | |
| 90480 | <1% | 21 | $718.68 | |
| 99173 | <1% | 74 | $595.98 | |
| 90621 | <1% | 45 | $556.75 | |
| 99442 | <1% | 27 | $515.57 | |
| 90662 | <1% | 67 | $450.00 | |
| 88738 | <1% | 78 | $444.87 | |
| 99441 | <1% | 42 | $437.02 | |
| 90714 | <1% | 21 | $436.83 | |
| 96127 | <1% | 100 | $384.56 | |
| 92551 | <1% | 54 | $374.50 | |
| 85018 | <1% | 87 | $275.33 | |
| 86580 | <1% | 18 | $129.21 | |
| 90744 | <1% | 121 | $73.85 | |
| G0008 | Administration of influenza virus vaccine | <1% | 18 | $26.14 |
| 90661 | 0% | 18 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 103 | $0.00 |
| 99000 | 0% | 2,916 | $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 officialEDWARDS, MEGAN (PUBLIC HEALTH OFFICER)