Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

NPI: 1427253608 · KNOXVILLE, TN 37923 · Pediatric Nurse Practitioner · NPI assigned 06/18/2007

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

Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more

$311K
Total Medicaid Paid
7,746
Total Claims
6,679
Beneficiaries
23
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
NPI Enumeration Date06/18/2007

Related Entities

Other providers sharing the same authorized official: ROSENDAHL, ANDREW

ProviderCityStateTotal Paid
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $88.61M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $31.61M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $3.45M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $2.57M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. OAK RIDGE TN $2.38M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.83M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEVIERVILLE TN $1.65M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.58M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $1.42M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.03M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $990K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $883K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $724K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. LA FOLLETTE TN $694K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. CLINTON TN $671K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $654K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. ALCOA TN $547K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEYMOUR TN $522K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $56.68
2019 416 $10K
2020 590 $12K
2021 1,465 $57K
2022 1,859 $84K
2023 1,772 $80K
2024 1,600 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,447 2,121 $182K
90460 Immunization administration through 18 years of age via any route, first or only component 1,292 1,109 $57K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 204 187 $24K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 148 122 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,400 1,179 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 39 $5K
92551 277 250 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 26 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 37 30 $1K
3008F 874 789 $1K
96127 134 124 $864.37
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 88 56 $863.07
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 12 $761.10
85025 Blood count; complete (CBC), automated, and automated differential WBC count 120 100 $462.16
99173 126 113 $379.08
90677 46 38 $298.04
99177 48 39 $227.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 14 $112.65
90686 144 123 $85.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $70.20
82465 18 14 $41.48
36416 204 157 $0.00
90670 25 24 $0.00