State of Tennessee

State of Tennessee was paid $124K by Medicaid between Jan 2018 and May 2024, across 19 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 30% of everything it billed.

33Billing provider infoSTATE OF TENNESSEE
DECATUR, TN 37322

33aNPI1366589293assigned 01/31/2007

33bProvider typePublic Health or Welfare Agency

28Total paid$124K

24GClaims5,788

24DCodes billed19

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Tennessee

Rank by total paid#52 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	2,276	$47K
2019	2,676	$61K
2020	393	$10K
2021	122	$2K
2022	107	$1K
2023	86	$1K
2024incomplete	128	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	30%	522	472	$37K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	20%	392	380	$25K
D1206	Topical application of fluoride varnish	12%	820	794	$15K
96110	Developmental screening, with scoring and documentation, per standardized instrument	11%	1,223	1,137	$13K
90460	Immunization administration through 18 years of age via any route, first or only component	8.1%	388	370	$10K
D0190		6.6%	790	765	$8K
99401		6.3%	273	246	$8K
83655		1.9%	185	172	$2K
99381		<1%	14	13	$1K
85018		<1%	390	343	$1K
94250		<1%	45	37	$820.62
36416		<1%	394	347	$790.17

7 more codes

D0150	Comprehensive oral evaluation - new or established patient	<1%	27	$643.50
0011A		<1%	15	$414.44
D1120	Dental cleaning, child	<1%	13	$375.43
0012A		<1%	14	$334.44
81025		<1%	18	$109.64
90686		<1%	235	$45.00
90461		0%	30	$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 (ACCOUNTING MANAGER)

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
Tennessee Department of Health	Athens, TN	$123K
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.