Clinic
East Tennessee State University
East Tennessee State University was paid $698K by Medicaid between Jan 2018 and Oct 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoEAST TENNESSEE STATE UNIVERSITY
MOUNTAIN CITY, TN 37683
MOUNTAIN CITY, TN 37683
33aNPI1295779361assigned 06/16/2006
33bProvider typeRural Health Clinic/Center
28Total paid$698K
24GClaims21,409
24DCodes billed26
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#21 of 96
Median peer was paid$127K
This provider vs. median5.5×
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.
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 | 3,917 | $113K | |
| 2019 | 3,416 | $115K | |
| 2020 | 3,264 | $90K | |
| 2021 | 3,971 | $129K | |
| 2022 | 2,377 | $93K | |
| 2023 | 2,280 | $90K | |
| 2024incomplete | 2,184 | $67K |
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 | 50% | 9,457 | 7,924 | $350K |
| 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 | 29% | 3,709 | 3,123 | $205K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 533 | 453 | $43K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 496 | 459 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 554 | 425 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 780 | 291 | $14K |
| 96160 | 1.5% | 1,456 | 777 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 716 | 619 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 66 | 64 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 139 | 134 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 394 | 206 | $4K |
| 92551 | <1% | 424 | 339 | $3K |
14 more codes
| 99173 | <1% | 439 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 29 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 58 | $2K |
| 96127 | <1% | 173 | $905.25 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 438 | $672.57 |
| 3008F | <1% | 1,002 | $622.83 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $364.34 |
| 81002 | <1% | 90 | $147.17 | |
| 90686 | <1% | 135 | $101.65 | |
| 36416 | <1% | 14 | $26.80 | |
| 90461 | 0% | 27 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 26 | $0.00 |
| 99000 | 0% | 73 | $0.00 | |
| 87428 | 0% | 154 | $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 officialKING, BETTY (ACTING CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| East Tennessee State University | Johnson City, TN | $1.36M |
| East Tennessee State University | Sneedville, TN | $458K |
| East Tennessee State University | Johnson City, TN | $50K |
| East Tennessee State University | Johnson City, TN | $6K |
| East Tennessee State University | Johnson City, TN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.