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

East Tennessee Children's Hospital Association, INC.

East Tennessee Children's Hospital Association, INC. was paid $191K by Medicaid between Sep 2023 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
KNOXVILLE, TN 37916
33aNPI1235821299assigned 05/25/2023
28Total paid$191K
24GClaims2,185
24DCodes billed6
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Tennessee

Rank by total paid#3 of 13
Median peer was paid$76K
This provider vs. median2.5×

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$10K$20K$30K2018201920202021202220232024
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
2023319$29K
2024incomplete1,866$162K
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 31% 957 892 $59K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30% 716 698 $58K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18% 297 280 $35K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 17% 173 158 $33K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.8% 12 12 $3K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.5% 30 30 $3K

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 ASSOCIATION 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.