State of Tennessee
State of Tennessee was paid $806K by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 19% of everything it billed.
MARYVILLE, TN 37801
Next to other State or Local Public Health Clinic/Center providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,654 | $183K | |
| 2019 | 11,879 | $253K | |
| 2020 | 5,056 | $99K | |
| 2021 | 5,394 | $93K | |
| 2022 | 3,852 | $83K | |
| 2023 | 2,743 | $59K | |
| 2024incomplete | 1,940 | $36K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 3,595 | 3,459 | $154K |
| D1206 | Topical application of fluoride varnish | 7.9% | 3,139 | 3,131 | $64K |
| D1110 | Prophylaxis - adult | 6.5% | 1,237 | 1,235 | $53K |
| 99402 | 6.5% | 1,030 | 957 | $52K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 2,045 | 2,041 | $50K |
| D1351 | Sealant - per tooth | 5.7% | 4,765 | 671 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 1,289 | 1,285 | $43K |
| 99384 | 3.9% | 289 | 281 | $32K | |
| D0272 | Bitewings - two radiographic images | 3.6% | 1,642 | 1,637 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 363 | 345 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 958 | 954 | $28K |
| 90651 | 3.2% | 858 | 816 | $26K |
43 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.8% | 1,482 | $23K |
| 99401 | 2.6% | 738 | $21K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 230 | $20K |
| D0330 | Panoramic radiographic image | 2.4% | 537 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 253 | $16K |
| 81025 | 2.0% | 3,098 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 543 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 1,146 | $13K |
| 99381 | 1.4% | 139 | $11K | |
| 92551 | <1% | 824 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 112 | $5K |
| 96127 | <1% | 1,134 | $5K | |
| D0190 | <1% | 384 | $4K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 48 | $4K |
| 99173 | <1% | 1,017 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 335 | $3K |
| 90734 | <1% | 506 | $3K | |
| 90716 | <1% | 365 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 90 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,015 | $2K |
| 90707 | <1% | 396 | $2K | |
| 90715 | <1% | 502 | $2K | |
| 90688 | <1% | 246 | $2K | |
| 0002A | <1% | 35 | $1K | |
| 0001A | <1% | 33 | $1K | |
| 85018 | <1% | 260 | $796.31 | |
| 36416 | <1% | 280 | $793.26 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $520.72 |
| 90619 | <1% | 67 | $517.72 | |
| 90671 | <1% | 12 | $404.06 | |
| 90461 | <1% | 2,119 | $394.10 | |
| 99201 | <1% | 16 | $341.36 | |
| 90686 | <1% | 375 | $145.00 | |
| 90696 | <1% | 118 | $134.63 | |
| 90633 | <1% | 428 | $88.89 | |
| 90670 | 0% | 143 | $0.00 | |
| 90685 | 0% | 27 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| D1330 | 0% | 75 | $0.00 | |
| 90698 | 0% | 74 | $0.00 | |
| 90677 | 0% | 25 | $0.00 | |
| 90744 | 0% | 27 | $0.00 | |
| 99000 | 0% | 25 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Sevierville, TN | $495K |
| State of Tennessee | Morristown, TN | $406K |
| State of Tennessee | Jacksboro, TN | $359K |
| State of Tennessee | Clinton, TN | $353K |
| State of Tennessee | Huntsville, TN | $295K |
| State of Tennessee | Rockwood, TN | $209K |
| State of Tennessee | New Tazewell, TN | $191K |
| State of Tennessee | Dandridge, TN | $141K |
| State of Tennessee | Maynardville, TN | $139K |
| State of Tennessee | Madisonville, TN | $109K |
| State of Tennessee | Newport, TN | $108K |
| State of Tennessee | Loudon, TN | $105K |
| State of Tennessee | Rutledge, TN | $75K |
| State of Tennessee | Wartburg, TN | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.