Medicaid Provider Spending

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

STATE OF TENNESSEE

NPI: 1366589293 · DECATUR, TN 37322 · Public Health or Welfare Agency · NPI assigned 01/31/2007

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

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

$124K
Total Medicaid Paid
5,788
Total Claims
5,418
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMCCARTHY, RICHARD (ACCOUNTING MANAGER)
NPI Enumeration Date01/31/2007

Related Entities

Other providers sharing the same authorized official: MCCARTHY, RICHARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,276 $47K
2019 2,676 $61K
2020 393 $10K
2021 122 $2K
2022 107 $1K
2023 86 $1K
2024 128 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 522 472 $37K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 392 380 $25K
D1206 Topical application of fluoride varnish 820 794 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,223 1,137 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 388 370 $10K
D0190 790 765 $8K
99401 273 246 $8K
83655 185 172 $2K
99381 14 13 $1K
85018 390 343 $1K
94250 45 37 $820.62
36416 394 347 $790.17
D0150 Comprehensive oral evaluation - new or established patient 27 26 $643.50
0011A 15 14 $414.44
D1120 Prophylaxis - child 13 13 $375.43
0012A 14 13 $334.44
81025 18 16 $109.64
90686 235 233 $45.00
90461 30 27 $0.00