Cherokee Health Systems
Cherokee Health Systems was paid $62K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
ENGLEWOOD, TN 37329
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 226 | $4K | |
| 2019 | 870 | $22K | |
| 2020 | 1,150 | $22K | |
| 2021 | 458 | $4K | |
| 2022 | 726 | $4K | |
| 2023 | 615 | $4K | |
| 2024incomplete | 348 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 63% | 1,243 | 1,010 | $40K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 16% | 832 | 689 | $10K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 6.8% | 1,033 | 951 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.6% | 79 | 38 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 162 | 131 | $3K |
| 3008F | 1.7% | 423 | 338 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 458 | 381 | $586.33 |
| 3074F | <1% | 38 | 25 | $180.00 | |
| 3078F | <1% | 60 | 41 | $180.00 | |
| 3075F | <1% | 20 | 12 | $80.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 13 | 13 | $0.00 |
| 3079F | 0% | 32 | 30 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Cherokee Health Systems | Talbott, TN | $97.62M |
| Cherokee Health Systems | Knoxville, TN | $4.66M |
| Cherokee Health Systems | Knoxville, TN | $591K |
| Cherokee Health Systems | Alcoa, TN | $375K |
| Cherokee Health Systems | Morristown, TN | $264K |
| Cherokee Health Systems | Knoxville, TN | $238K |
| Cherokee Health Systems | Chattanooga, TN | $196K |
| Cherokee Health Systems | Seymour, TN | $196K |
| Cherokee Health Systems | New Tazewell, TN | $185K |
| Cherokee Health Systems | Blaine, TN | $166K |
| Cherokee Health Systems | Lenoir City, TN | $140K |
| Cherokee Health Systems | Maynardville, TN | $133K |
| Cherokee Health Systems | Clinton, TN | $128K |
| Cherokee Health Systems | Knoxville, TN | $123K |
| Cherokee Health Systems | Newport, TN | $38K |
| Cherokee Health Systems | Washburn, TN | $25K |
| Cherokee Health Systems | Knoxville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.