Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tennessee Valley Neonatology, INC

Tennessee Valley Neonatology, INC was paid $22.29M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 38% of everything it billed.

33Billing provider infoTENNESSEE VALLEY NEONATOLOGY, INC
HUNTSVILLE, AL 35801
33aNPI1376831636assigned 07/20/2011
33bProvider typePediatrics Physician
28Total paid$22.29M
24GClaims326,389
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Alabama

Rank by total paid#5 of 199
Median peer was paid$702K
This provider vs. median32×

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 COWARD, ROBERT controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201826,584$2.69M
201937,155$3.29M
202058,509$3.31M
202164,551$3.68M
202270,627$3.50M
202351,058$3.81M
2024incomplete17,905$2.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 38% 48,646 11,055 $8.37M
99479 Subsequent intensive care, per day, very low birth weight infant 23% 93,940 17,624 $5.20M
99480 Subsequent intensive care, per day, low birth weight infant 15% 56,819 14,020 $3.28M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 9.6% 12,973 2,033 $2.14M
99468 4.3% 3,405 1,425 $962K
99460 3.7% 31,033 17,539 $817K
99238 Hospital discharge day management, 30 minutes or less 3.5% 34,869 18,584 $773K
99381 1.5% 28,372 11,419 $343K
99239 Hospital discharge day management, more than 30 minutes <1% 3,047 1,742 $142K
99462 <1% 9,825 4,531 $101K
99478 <1% 2,504 352 $99K
99477 <1% 629 283 $59K
3 more codes
54150 <1% 36 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 273 $2K
99221 <1% 18 $622.72

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 officialCOWARD, ROBERT (PRESIDENT)
Same official

Other billing entities under COWARD, ROBERT

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.