Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › JOHNSON CITY › STATE OF TENNESSEE

STATE OF TENNESSEE

NPI: 1447397666 · JOHNSON CITY, TN 37601 · Public Health or Welfare Agency · NPI assigned 01/30/2007

$1.15M
Total Medicaid Paid
57,508
Total Claims
50,236
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, JAMES (COUNTY DIRECTOR 3)
NPI Enumeration Date01/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,068 $291K
2019 15,880 $310K
2020 5,583 $101K
2021 3,812 $78K
2022 7,490 $152K
2023 8,507 $189K
2024 2,168 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 8,100 7,982 $151K
90460 Immunization administration through 18 years of age via any route, first or only component 3,612 3,463 $123K
99401 3,531 3,098 $92K
D1120 Prophylaxis - child 2,749 2,729 $92K
D1110 Prophylaxis - adult 1,448 1,420 $61K
D0120 Periodic oral evaluation - established patient 2,461 2,448 $59K
D0272 Bitewings - two radiographic images 3,679 3,583 $55K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 804 772 $51K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 683 497 $49K
D1351 Sealant - per tooth 4,844 776 $43K
D0150 Comprehensive oral evaluation - new or established patient 1,519 1,485 $41K
99381 509 491 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 518 497 $39K
D0190 3,141 3,115 $34K
D0330 Panoramic radiographic image 841 820 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,684 1,482 $25K
90651 625 586 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,197 2,106 $22K
D0140 Limited oral evaluation - problem focused 878 834 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 191 170 $14K
D0274 Bitewings - four radiographic images 585 562 $12K
D7140 Extraction, erupted tooth or exposed root 181 82 $11K
81025 2,008 1,785 $10K
94250 449 353 $7K
D0220 Intraoral - periapical first radiographic image 381 361 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 161 149 $4K
D1354 520 75 $3K
92551 443 386 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 44 41 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 57 56 $3K
85018 919 832 $2K
36416 981 891 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 225 204 $2K
T2028 Specialized supply, not otherwise specified, waiver 153 133 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 20 19 $2K
90715 519 506 $2K
36415 Collection of venous blood by venipuncture 776 712 $2K
90734 301 297 $1K
0001A 44 36 $1K
96127 346 290 $1K
0002A 39 30 $1K
99173 377 332 $1K
90716 149 134 $986.69
83655 80 72 $985.44
90686 1,180 1,130 $945.00
90632 16 15 $746.62
90707 168 152 $741.98
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 13 $553.17
D0230 Intraoral - periapical each additional radiographic image 58 43 $531.90
99071 188 155 $455.81
D0145 Oral evaluation for a patient under three years of age 14 14 $339.43
90619 54 53 $258.86
99407 13 13 $257.53
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 12 $249.64
87210 49 42 $161.41
90670 14 14 $160.66
90633 206 194 $118.52
90461 1,245 1,204 $90.08
D0170 29 29 $25.13
91300 32 32 $0.00
90696 18 12 $0.00
90688 44 44 $0.00
90723 13 12 $0.00
D1330 194 192 $0.00
90674 161 157 $0.00
99000 12 12 $0.00