Hospital
Erlanger Health
Erlanger Health was paid $281K by Medicaid between Jul 2023 and Dec 2024, across 19 billing codes. Its largest line is 99283, emergency room visit (moderate) — 37% of everything it billed.
33Billing provider infoERLANGER HEALTH
PIKEVILLE, TN 37367
PIKEVILLE, TN 37367
33aNPI1336841568assigned 03/21/2023
33bProvider typeCritical Access Hospital
28Total paid$281K
24GClaims5,353
24DCodes billed19
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Tennessee
Rank by total paid#13 of 15
Median peer was paid$1.48M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 2,541 | $128K | |
| 2024incomplete | 2,812 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 1,744 | 1,555 | $103K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 952 | 836 | $90K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 11% | 362 | 312 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.1% | 410 | 368 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.4% | 725 | 599 | $10K |
| 80053 | Comprehensive metabolic panel | 3.4% | 561 | 471 | $9K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.3% | 201 | 179 | $9K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.9% | 46 | 42 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.1% | 90 | 76 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 27 | 25 | $463.59 |
| 84484 | <1% | 31 | 15 | $385.91 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 18 | 14 | $328.30 |
7 more codes
| 81001 | <1% | 78 | $303.29 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $288.41 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 14 | $253.02 |
| 83735 | <1% | 32 | $136.76 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 21 | $86.95 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 12 | $3.98 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 15 | $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 officialDEJACO, LYNN (CFO, EXECUTIVE VP)
Parent organizationERLANGER HEALTH
| Provider | Location | Paid |
|---|---|---|
| Erlanger Health | Chattanooga, TN | $3.27M |
| Erlanger Health | Chattanooga, TN | $2.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.