Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

East Tennessee Children's Hospital Primary Care Center, INC.

East Tennessee Children's Hospital Primary Care Center, INC. was paid $257K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
KNOXVILLE, TN 37932
33aNPI1235640467assigned 10/16/2017
28Total paid$257K
24GClaims4,473
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Tennessee

Rank by total paid#46 of 139
Median peer was paid$101K
This provider vs. median2.6×

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.

Entity ProliferationAuthorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202030$2K
2021422$22K
2022980$61K
20231,828$104K
2024incomplete1,213$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75% 2,516 2,104 $193K
90460 Immunization administration through 18 years of age via any route, first or only component 12% 681 643 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.9% 133 127 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.9% 67 63 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.7% 270 245 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.2% 74 70 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 14 13 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 31 26 $1K
92551 <1% 43 41 $554.99
99177 <1% 52 49 $242.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 12 $220.00
90686 <1% 105 101 $219.86
4 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 17 $170.17
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 48 $0.00
90670 0% 12 $0.00
3008F 0% 398 $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 officialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent organizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Same official

Other billing entities under ROSENDAHL, ANDREW

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.