Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TENNESSEE DEPARTMENT OF HEALTH

NPI: 1326185307 · ATHENS, TN 37303 · Public Health or Welfare Agency · NPI assigned 01/31/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCCARTHY, RICHARD controls 12+ related entities in our dataset. Read more

$123K
Total Medicaid Paid
5,970
Total Claims
5,752
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMCCARTHY, RICHARD (ACCOUNTANT 3)
Parent OrganizationSTATE OF TENNESSEE
NPI Enumeration Date01/31/2007

Related Entities

Other providers sharing the same authorized official: MCCARTHY, RICHARD

ProviderCityStateTotal Paid
TENNESEE DEPARTMENT OF HEALTH CLEVELAND TN $483K
TROPICAL GARDEN VILLAS INC. LAKE PARK FL $452K
STATE OF TENNESSEE WINCHESTER TN $372K
STATE OF TENNESSEE DECATUR TN $124K
STATE OF TENNESSEE EVENSVILLE TN $100K
STATE OF TENNESSEE JASPER TN $100K
STATE OF TENNESSEE DUNLAP TN $61K
STATE OF TENNESSEE ALTAMONT TN $50K
STATE OF TENNESSEE BENTON TN $30K
STATE OF TENNESSEE COPPERHILL TN $27K
STATE OF TENNESSEEE PIKEVILLE TN $12K
SHORE HEALTH AND REHAB PRODUCTS INC NEPTUNE NJ $969.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,960 $40K
2019 2,194 $50K
2020 370 $11K
2021 425 $6K
2022 356 $4K
2023 307 $4K
2024 358 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 1,314 1,285 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 422 411 $27K
99381 305 282 $23K
D1206 Topical application of fluoride varnish 561 556 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,005 946 $10K
99401 202 174 $6K
D0190 454 452 $5K
D0330 Panoramic radiographic image 101 100 $4K
D0140 Limited oral evaluation - problem focused 117 115 $2K
0001A 42 34 $1K
D1120 Prophylaxis - child 43 43 $1K
D0150 Comprehensive oral evaluation - new or established patient 42 42 $909.67
90686 1,020 1,002 $470.00
94250 22 13 $288.38
90651 15 15 $184.85
D0272 Bitewings - two radiographic images 12 12 $166.77
36416 60 54 $158.18
85018 47 43 $143.25
96127 31 28 $120.45
92551 17 14 $117.56
99173 12 12 $40.37
90461 113 106 $22.52
90715 13 13 $0.00