STATE OF TENNESSEE
NPI: 1366595134
· SMYRNA, TN 37167
· Public Health or Welfare Agency
· NPI assigned 01/18/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official HALEY, ANNETTE controls 16+ related entities in our dataset. Read more
$132K
Total Medicaid Paid
Provider Details
| Authorized Official | HALEY, ANNETTE (REGIONAL DIRECTOR) |
| NPI Enumeration Date | 01/18/2007 |
Related Entities
Other providers sharing the same authorized official: HALEY, ANNETTE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,135 |
$22K |
| 2019 |
2,065 |
$43K |
| 2020 |
1,176 |
$20K |
| 2021 |
1,183 |
$20K |
| 2022 |
676 |
$12K |
| 2023 |
414 |
$8K |
| 2024 |
370 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,364 |
2,184 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
175 |
158 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
628 |
598 |
$6K |
| 90651 |
|
449 |
386 |
$3K |
| 99177 |
|
211 |
188 |
$1K |
| 90734 |
|
316 |
271 |
$1K |
| D1206 |
Topical application of fluoride varnish |
55 |
55 |
$1K |
| 90715 |
|
548 |
485 |
$900.09 |
| 0001A |
|
26 |
21 |
$840.00 |
| 90716 |
|
140 |
138 |
$806.19 |
| D0190 |
|
55 |
55 |
$648.00 |
| 90707 |
|
139 |
137 |
$448.21 |
| 85018 |
|
80 |
74 |
$190.06 |
| 36416 |
|
99 |
86 |
$160.80 |
| 90619 |
|
64 |
53 |
$129.43 |
| 90688 |
|
133 |
131 |
$115.00 |
| 92551 |
|
16 |
12 |
$113.95 |
| 90723 |
|
77 |
67 |
$71.48 |
| 90461 |
|
956 |
858 |
$67.56 |
| 90633 |
|
117 |
109 |
$59.26 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$24.76 |
| 90670 |
|
107 |
99 |
$0.00 |
| 90648 |
|
117 |
108 |
$0.00 |
| 90710 |
|
76 |
72 |
$0.00 |
| 90696 |
|
56 |
52 |
$0.00 |