State of Tennessee
State of Tennessee was paid $94K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
GAINESBORO, TN 38562
Next to other Public Health or Welfare Agency 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 | 684 | $10K | |
| 2019 | 1,290 | $23K | |
| 2020 | 428 | $12K | |
| 2021 | 483 | $15K | |
| 2022 | 609 | $16K | |
| 2023 | 500 | $12K | |
| 2024incomplete | 199 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 74% | 1,725 | 1,365 | $70K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 221 | 192 | $7K |
| D1206 | Topical application of fluoride varnish | 4.2% | 259 | 259 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 175 | 163 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 279 | 230 | $2K |
| D0190 | 2.3% | 246 | 246 | $2K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.5% | 74 | 64 | $1K |
| 96127 | 1.4% | 398 | 330 | $1K | |
| 0011A | 1.1% | 41 | 28 | $1K | |
| 90688 | <1% | 214 | 192 | $820.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 470 | 407 | $507.46 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $341.30 |
2 more codes
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 | Crossville, TN | $588K |
| State of Tennessee | Cookeville, TN | $546K |
| State of Tennessee | Mc Minnville, TN | $293K |
| State of Tennessee | Sparta, TN | $170K |
| State of Tennessee | Jamestown, TN | $135K |
| State of Tennessee | Smithville, TN | $109K |
| State of Tennessee | Livingston, TN | $106K |
| State of Tennessee | Lafayette, TN | $68K |
| State of Tennessee | Celina, TN | $60K |
| State of Tennessee | Woodbury, TN | $38K |
| State of Tennessee | Carthage, TN | $34K |
| State of Tennessee | Byrdstown, TN | $25K |
| State of Tennessee | Spencer, TN | $10K |
| State of Tennessee | Cookeville, TN | $462.83 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.