Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

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

East Tennessee Children's Hospital Primary Care Center, INC. was paid $31K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
VONORE, TN 37885
33aNPI1265637441assigned 06/18/2007
28Total paid$31K
24GClaims908
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatric Nurse Practitioner providers in Tennessee

Rank by total paid#43 of 70
Median peer was paid$60K
This provider vs. median0.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018834$26K
201931$2K
202115$1K
2024incomplete28$2K
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 70% 590 474 $22K
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 23% 154 111 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 4.5% 64 51 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.1% 34 32 $332.60
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 23 21 $242.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14 14 $143.50
87081 <1% 29 28 $29.76

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.