Clinic
University of Tennessee
University of Tennessee was paid $1.46M by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoUNIVERSITY OF TENNESSEE
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
33aNPI1295751386assigned 07/14/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.46M
24GClaims273,209
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Tennessee
Rank by total paid#4 of 18
Median peer was paid$314K
This provider vs. median4.6×
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.
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 | 43,774 | $226K | |
| 2019 | 61,388 | $244K | |
| 2020 | 26,463 | $214K | |
| 2021 | 26,386 | $163K | |
| 2022 | 41,949 | $234K | |
| 2023 | 38,827 | $181K | |
| 2024incomplete | 34,422 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 15,225 | 13,089 | $524K |
| 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 | 14% | 5,029 | 4,233 | $209K |
| 76830 | Ultrasound, transvaginal | 6.3% | 1,245 | 1,031 | $92K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.0% | 1,194 | 1,049 | $73K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.1% | 82 | 80 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 2,030 | 1,771 | $59K |
| 81025 | 3.8% | 11,184 | 9,435 | $55K | |
| 81003 | 2.5% | 22,855 | 19,306 | $37K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.2% | 674 | 611 | $32K |
| 59430 | 2.1% | 331 | 269 | $31K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 612 | 535 | $30K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.9% | 541 | 374 | $27K |
68 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 1,464 | $22K |
| 0503F | 1.4% | 1,087 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.4% | 298 | $21K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.3% | 279 | $19K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.2% | 243 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,575 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 165 | $13K |
| 90715 | <1% | 346 | $12K | |
| 59025 | Fetal non-stress test | <1% | 458 | $11K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 232 | $10K |
| 99406 | <1% | 1,137 | $10K | |
| 96160 | <1% | 880 | $9K | |
| 3008F | <1% | 27,376 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 104 | $9K |
| 3074F | <1% | 11,688 | $6K | |
| 90688 | <1% | 395 | $5K | |
| 90686 | <1% | 309 | $5K | |
| 3078F | <1% | 9,561 | $4K | |
| 76857 | <1% | 57 | $2K | |
| 3079F | <1% | 2,180 | $2K | |
| 96127 | <1% | 395 | $2K | |
| 87210 | <1% | 298 | $1K | |
| 99385 | <1% | 14 | $1K | |
| 81002 | <1% | 322 | $776.72 | |
| 0500F | <1% | 454 | $705.00 | |
| 99442 | <1% | 29 | $632.94 | |
| 3077F | <1% | 535 | $440.00 | |
| 3044F | <1% | 613 | $392.40 | |
| 3080F | <1% | 473 | $380.00 | |
| 3075F | <1% | 351 | $162.41 | |
| 1036F | 0% | 31,266 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 6,200 | $0.00 |
| 1034F | 0% | 1,958 | $0.00 | |
| 1125F | 0% | 647 | $0.00 | |
| 1126F | 0% | 7,038 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 139 | $0.00 |
| 1035F | 0% | 333 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 218 | $0.00 |
| G8478 | Blood pressure measurement not performed or documented, reason not given | 0% | 114 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 408 | $0.00 |
| G8450 | Beta-blocker therapy prescribed | 0% | 13 | $0.00 |
| 4010F | 0% | 31 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 28 | $0.00 |
| 3017F | 0% | 20 | $0.00 | |
| 3014F | 0% | 24 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 40 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 12 | $0.00 |
| 1170F | 0% | 13 | $0.00 | |
| 1111F | 0% | 13 | $0.00 | |
| 0502F | 0% | 18,072 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 36,655 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14,636 | $0.00 |
| 3015F | 0% | 5,484 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 20,087 | $0.00 |
| 1160F | 0% | 46 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 2,701 | $0.00 |
| G9796 | Patient is currently on a high intensity statin therapy | 0% | 257 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 120 | $0.00 |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | 0% | 200 | $0.00 |
| 4004F | 0% | 880 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 897 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 66 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 21 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 168 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $0.00 |
| 1159F | 0% | 45 | $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 officialELDER, ROBERT (CHAIR & ASSOCIATE PROFESSOR)