Medicaid Provider Spending

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

STATE OF TENNESSEEE

NPI: 1366589335 · PIKEVILLE, TN 37367 · 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

$12K
Total Medicaid Paid
868
Total Claims
838
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMCCARTHY, RICHARD (ACCOUNTING MANAGER)
Parent OrganizationSTATE OF TENNESSEE
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
STATE OF TENNESSEE DECATUR TN $124K
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
SHORE HEALTH AND REHAB PRODUCTS INC NEPTUNE NJ $969.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 414 $6K
2019 218 $3K
2022 141 $2K
2023 95 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 296 285 $5K
D0190 275 264 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 123 120 $3K
D0150 Comprehensive oral evaluation - new or established patient 22 22 $643.50
D1120 Prophylaxis - child 19 19 $546.08
D0272 Bitewings - two radiographic images 18 17 $277.95
90686 49 49 $30.00
90674 66 62 $0.00