Medicaid Provider Spending

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

TENNESSEE VALLEY NEONATOLOGY, INC

NPI: 1376831636 · HUNTSVILLE, AL 35801 · Pediatrics Physician · NPI assigned 07/20/2011

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

Authorized official COWARD, ROBERT controls 19+ related entities in our dataset. Read more

$22.29M
Total Medicaid Paid
326,389
Total Claims
100,731
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOWARD, ROBERT (PRESIDENT)
NPI Enumeration Date07/20/2011

Related Entities

Other providers sharing the same authorized official: COWARD, ROBERT

ProviderCityStateTotal Paid
SHERIDAN CHILDREN HEALTHCARE SERVICES OF NEW MEXICO INC ALBUQUERQUE NM $2.90M
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF LOUISIANA INC ALEXANDRIA LA $2.72M
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC. GLENDALE AZ $2.09M
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC. SUN CITY WEST AZ $1.86M
ARIZONA PERINATAL CARE CENTERS, LLC GLENDALE AZ $1.52M
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF VIRGINIA INC RICHMOND VA $1.12M
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC. PHOENIX AZ $868K
SHERIDAN CHILDREN'S SERVICES OF ALABAMA, INC DOTHAN AL $707K
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC. TUCSON AZ $271K
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC. GILBERT AZ $145K
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF VIRGINIA, INC FREDERICKSBURG VA $109K
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC. CASA GRANDE AZ $100K
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF VIRGINIA INC RICHMOND VA $79K
SHERIDAN CHILDRENS HEALTHCARE SERVICES OF ARIZONA, INC. SAN TAN VALLEY AZ $49K
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF NEW MEXICO, INC ALBUQUERQUE NM $47K
SHERIDAN HEALTHY HEARING SERVICES, INC FAIRFAX VA $35K
SHERIDAN CHILDREN'S HEALTHCARE SERVICES, INC JUPITER FL $27K
NEPHROLOGY SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC PALM BEACH GARDENS FL $4K
SHERIDAN ROP SERVICES OF VIRGINIA, INC. RICHMOND VA $776.98

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,584 $2.69M
2019 37,155 $3.29M
2020 58,509 $3.31M
2021 64,551 $3.68M
2022 70,627 $3.50M
2023 51,058 $3.81M
2024 17,905 $2.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 48,646 11,055 $8.37M
99479 Subsequent intensive care, per day, very low birth weight infant 93,940 17,624 $5.20M
99480 Subsequent intensive care, per day, low birth weight infant 56,819 14,020 $3.28M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 12,973 2,033 $2.14M
99468 3,405 1,425 $962K
99460 31,033 17,539 $817K
99238 Hospital discharge day management, 30 minutes or less 34,869 18,584 $773K
99381 28,372 11,419 $343K
99239 Hospital discharge day management, more than 30 minutes 3,047 1,742 $142K
99462 9,825 4,531 $101K
99478 2,504 352 $99K
99477 629 283 $59K
54150 36 24 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 273 87 $2K
99221 18 13 $622.72