Tennessee Department of Health

Tennessee Department of Health was paid $123K by Medicaid between Jan 2018 and Sep 2024, across 23 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 24% of everything it billed.

33Billing provider infoTENNESSEE DEPARTMENT OF HEALTH
ATHENS, TN 37303

33aNPI1326185307assigned 01/31/2007

33bProvider typePublic Health or Welfare Agency

28Total paid$123K

24GClaims5,970

24DCodes billed23

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Tennessee

Rank by total paid#54 of 109

Median peer was paid$121K

This provider vs. median1.0×

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.

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

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

Box 24 · Service lines

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	24%	1,314	1,285	$30K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	22%	422	411	$27K
99381		19%	305	282	$23K
D1206	Topical application of fluoride varnish	8.8%	561	556	$11K
96110	Developmental screening, with scoring and documentation, per standardized instrument	8.4%	1,005	946	$10K
99401		4.5%	202	174	$6K
D0190		4.3%	454	452	$5K
D0330	Panoramic radiographic image	2.9%	101	100	$4K
D0140	Limited oral evaluation - problem focused	1.9%	117	115	$2K
0001A		1.1%	42	34	$1K
D1120	Dental cleaning, childProphylaxis - child	<1%	43	43	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	42	42	$909.67

11 more codes

90686		<1%	1,020	$470.00
94250		<1%	22	$288.38
90651		<1%	15	$184.85
D0272	Bitewings - two radiographic images	<1%	12	$166.77
36416		<1%	60	$158.18
85018		<1%	47	$143.25
96127		<1%	31	$120.45
92551		<1%	17	$117.56
99173		<1%	12	$40.37
90461		<1%	113	$22.52
90715		0%	13	$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 officialMCCARTHY, RICHARD (ACCOUNTANT 3)

Parent organizationSTATE OF TENNESSEE

Same official

Other billing entities under MCCARTHY, RICHARD

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.