Medicaid Provider Spending

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

UNIVERSITY HEALTH SYSTEM, INC

NPI: 1346278025 · KNOXVILLE, TN 37920 · Acute Care Nurse Practitioner · NPI assigned 06/29/2006

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

Authorized official MAYNARD, BETH controls 20+ related entities in our dataset. Read more

$1.53M
Total Medicaid Paid
51,678
Total Claims
24,808
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAYNARD, BETH (VP)
NPI Enumeration Date06/29/2006

Related Entities

Other providers sharing the same authorized official: MAYNARD, BETH

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,453 $260K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 19,941 7,850 $610K
99232 Subsequent hospital care, per day, moderate complexity 20,567 7,461 $431K
99223 Prolong inpt eval add15 m 5,608 4,705 $324K
99239 Hospital discharge day management, more than 30 minutes 2,922 2,525 $89K
99220 1,049 916 $60K
99222 Initial hospital care, per day, moderate complexity 131 99 $5K
99217 144 124 $3K
99219 64 57 $3K
99238 Hospital discharge day management, 30 minutes or less 93 82 $2K
99226 61 36 $2K
99407 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) 35 28 $735.59
99406 41 28 $158.17
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 801 711 $0.00
1123F 120 100 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 12 12 $0.00