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

Vanderbilt Integrated Providers, LLC

Vanderbilt Integrated Providers, LLC was paid $1.26M by Medicaid between Nov 2021 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoVANDERBILT INTEGRATED PROVIDERS, LLC
TULLAHOMA, TN 37388
33aNPI1437744828assigned 03/08/2021
28Total paid$1.26M
24GClaims38,293
24DCodes billed40
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Tennessee

Rank by total paid#15 of 96
Median peer was paid$127K
This provider vs. median9.9×

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

$0$20K$40K$60K2018201920202021202220232024
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
20211,364$28K
202211,535$304K
202311,620$431K
2024incomplete13,774$492K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 8,347 6,583 $372K
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 19% 3,450 2,746 $237K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 2,304 1,928 $179K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 2,000 1,524 $141K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.0% 1,315 1,108 $100K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.9% 4,794 3,952 $61K
90472 Immunization administration, each additional vaccine (list separately) 3.8% 2,903 2,428 $47K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 192 169 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 179 159 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 1,488 1,129 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 1,434 524 $15K
92551 <1% 1,269 1,152 $11K
28 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 641 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 254 $7K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 130 $6K
99173 <1% 858 $5K
96161 <1% 688 $4K
90474 <1% 286 $3K
96127 <1% 317 $2K
99177 <1% 172 $1K
87420 <1% 140 $800.12
99203 Doctor's office visit, new patient (routine) <1% 13 $686.09
99174 <1% 44 $378.90
85018 <1% 52 $121.53
36416 <1% 56 $81.80
36415 Collection of venous blood by venipuncture <1% 27 $69.40
90656 <1% 408 $67.52
90686 <1% 764 $31.05
90680 0% 374 $0.00
90677 0% 595 $0.00
90723 0% 620 $0.00
90716 0% 20 $0.00
90651 0% 27 $0.00
90648 0% 1,184 $0.00
90670 0% 631 $0.00
90633 0% 238 $0.00
90661 0% 13 $0.00
90710 0% 26 $0.00
90700 0% 19 $0.00
90707 0% 21 $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.

From NPPES

Who's on the registration

Authorized officialMONACI, WENDY (VICE PRESIDENT)
Same official

Other billing entities under MONACI, WENDY

Full network →

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