Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

NPI: 1235350901 · KNOXVILLE, TN 37916 · Pediatric Nurse Practitioner · NPI assigned 05/01/2007

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

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

$31.61M
Total Medicaid Paid
977,818
Total Claims
851,235
Beneficiaries
91
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
NPI Enumeration Date05/01/2007

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 ASSOCIATION INC. KNOXVILLE TN $3.45M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $2.57M
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 34,049 $1.09M
2019 122,739 $3.30M
2020 110,290 $3.23M
2021 155,567 $4.80M
2022 169,713 $5.52M
2023 212,623 $7.38M
2024 172,837 $6.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 214,784 177,673 $11.06M
90460 Immunization administration through 18 years of age via any route, first or only component 82,567 75,179 $3.71M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 38,344 35,818 $3.02M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 38,334 33,635 $2.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,986 30,096 $2.53M
96110 Developmental screening, with scoring and documentation, per standardized instrument 63,367 52,258 $1.78M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18,068 16,078 $1.39M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12,738 11,658 $1.08M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 29,894 25,605 $998K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,362 10,814 $469K
96161 24,736 20,932 $419K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,855 3,484 $327K
92551 40,512 36,578 $321K
99177 41,380 37,601 $310K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,776 7,804 $284K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,104 26,676 $260K
80061 Lipid panel 6,339 5,702 $107K
96127 24,742 19,900 $106K
99381 1,066 888 $83K
99173 14,479 13,097 $79K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,314 5,640 $76K
36416 40,600 34,312 $70K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,643 4,174 $56K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,785 3,572 $40K
87807 2,743 2,456 $30K
90670 19,188 17,180 $25K
99460 418 346 $19K
86738 1,463 1,251 $17K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,410 928 $17K
83655 1,237 1,111 $17K
81003 8,024 6,701 $17K
90791 Psychiatric diagnostic evaluation 150 131 $12K
90686 19,618 18,296 $11K
99383 112 107 $10K
90472 Immunization administration, each additional vaccine (list separately) 411 365 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 105 104 $7K
99382 83 76 $7K
99238 Hospital discharge day management, 30 minutes or less 149 120 $7K
92567 457 330 $7K
90723 13,689 12,302 $6K
90680 12,191 10,930 $6K
36415 Collection of venous blood by venipuncture 1,967 1,731 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 338 219 $5K
90677 4,631 4,319 $4K
87081 1,542 1,366 $4K
90651 383 344 $3K
88720 558 370 $3K
54150 17 17 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,158 767 $3K
69210 55 52 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 187 180 $2K
90647 11,936 10,913 $2K
85018 727 673 $2K
90633 4,845 4,496 $2K
0072A 37 37 $1K
90716 976 896 $1K
82247 224 119 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 105 72 $1K
90847 Family psychotherapy with the patient present, 50 minutes 15 13 $969.33
90697 828 772 $831.35
90707 981 899 $766.04
85027 116 95 $739.09
90656 1,043 976 $503.52
90620 18 12 $498.81
90671 390 352 $488.18
82465 233 200 $404.31
81001 115 100 $374.08
96380 13 12 $240.58
90734 179 159 $182.81
90661 1,486 1,261 $151.73
J1100 Injection, dexamethasone sodium phosphate, 1 mg 157 155 $144.12
90696 106 101 $129.65
90674 913 882 $117.63
90648 1,242 1,155 $102.06
90700 329 303 $68.12
99051 14 12 $51.45
82947 12 12 $47.45
90688 153 139 $20.85
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 32 25 $5.85
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 67 45 $3.68
90710 71 64 $0.00
90685 140 107 $0.00
90681 119 112 $0.00
90715 31 30 $0.00
E0445 Oximeter device for measuring blood oxygen levels non-invasively 65 56 $0.00
90672 13 13 $0.00
91300 34 32 $0.00
3008F 59,666 54,395 $0.00
91307 77 75 $0.00
90698 207 164 $0.00
90744 44 28 $0.00