NP / PA
University Health System, INC
University Health System, INC was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.
33Billing provider infoUNIVERSITY HEALTH SYSTEM, INC
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
33aNPI1346278025assigned 06/29/2006
33bProvider typeAcute Care Nurse Practitioner
28Total paid$1.53M
24GClaims51,678
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Acute Care Nurse Practitioner providers in Tennessee
Rank by total paid#3 of 45
Median peer was paid$9K
This provider vs. median163×
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 MAYNARD, BETH controls 20+ 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 | 5,772 | $147K | |
| 2019 | 4,626 | $125K | |
| 2020 | 4,625 | $154K | |
| 2021 | 8,063 | $226K | |
| 2022 | 6,635 | $213K | |
| 2023 | 14,504 | $405K | |
| 2024incomplete | 7,453 | $260K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 40% | 19,941 | 7,850 | $610K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 20,567 | 7,461 | $431K |
| 99223 | Prolong inpt eval add15 m | 21% | 5,608 | 4,705 | $324K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.8% | 2,922 | 2,525 | $89K |
| 99220 | 3.9% | 1,049 | 916 | $60K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 131 | 99 | $5K |
| 99217 | <1% | 144 | 124 | $3K | |
| 99219 | <1% | 64 | 57 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 93 | 82 | $2K |
| 99226 | <1% | 61 | 36 | $2K | |
| 99407 | <1% | 89 | 74 | $743.53 | |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 35 | 28 | $735.59 |
4 more codes
| 99406 | <1% | 41 | $158.17 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 801 | $0.00 |
| 1123F | 0% | 120 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 12 | $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 officialMAYNARD, BETH (VP)
| Provider | Location | Paid |
|---|---|---|
| University Health System, INC | Knoxville, TN | $16.73M |
| Uhs Ventures INC | New Tazewell, TN | $1.09M |
| University Emergency Obstetrics LLC | Knoxville, TN | $802K |
| University Health System INC | Knoxville, TN | $621K |
| University Health System, INC | Knoxville, TN | $475K |
| University Health System, INC | Knoxville, TN | $452K |
| University Health System, INC | Knoxville, TN | $356K |
| University Health System, INC | Knoxville, TN | $314K |
| University Health System, INC | Knoxville, TN | $287K |
| University Health System, INC | Knoxville, TN | $286K |
| University Health System, INC | Knoxville, TN | $271K |
| University Health System, INC | Knoxville, TN | $266K |
| University Health System, INC | Knoxville, TN | $238K |
| University Health System INC | Knoxville, TN | $176K |
| University Health System, INC | Knoxville, TN | $145K |
| University Health System, INC | Sevierville, TN | $132K |
| University Health System, INC | Knoxville, TN | $128K |
| University Health System, INC | Knoxville, TN | $111K |
| University Health System, INC | Knoxville, TN | $104K |
| University Health System, INC | Knoxville, TN | $100K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.