East Tennessee Children's Hospital Association, INC.

East Tennessee Children's Hospital Association, INC. was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 94% of everything it billed.

33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
KNOXVILLE, TN 37916

33aNPI1427134691assigned 10/31/2006

33bProvider typeAnesthesiology Physician

28Total paid$2.55M

24GClaims17,190

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Anesthesiology Physician providers in Tennessee

Rank by total paid#4 of 64

Median peer was paid$14K

This provider vs. median177×

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.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	2,309	$328K
2019	2,530	$337K
2020	1,493	$190K
2021	1,731	$239K
2022	2,577	$354K
2023	3,950	$716K
2024incomplete	2,600	$380K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
00170	Anesthesia for intraoral procedures, including biopsy	94%	15,657	14,009	$2.40M
00126		2.4%	703	653	$62K
00813		2.2%	442	404	$55K
00731		<1%	192	177	$24K
00920		<1%	33	27	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	80	27	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	34	12	$765.78
99140		<1%	19	13	$405.76
99100		<1%	30	25	$359.70

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 officialCOX, MARGARETE (BUSINESS OFFICE MANAGER)

Parent organizationEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.