Cherokee Health Systems
Cherokee Health Systems was paid $1K by Medicaid between Feb 2022 and May 2024, across 4 billing codes. Its largest line is G0467, community health center visit, returning patient — 79% of everything it billed.
KNOXVILLE, TN 37921
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 | |
|---|---|---|---|
| 2022 | 36 | $158.00 | |
| 2023 | 57 | $288.50 | |
| 2024incomplete | 39 | $627.73 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 79% | 62 | 53 | $851.49 |
| 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 | 21% | 26 | 26 | $222.74 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 26 | 25 | $0.00 |
| 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 | 0% | 18 | 15 | $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 | Englewood, TN | $62K |
| Cherokee Health Systems | Newport, TN | $38K |
| Cherokee Health Systems | Washburn, TN | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.