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

Erlanger Health

Erlanger Health was paid $2.28M by Medicaid between Jul 2023 and Dec 2024, across 102 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoERLANGER HEALTH
CHATTANOOGA, TN 37403
33aNPI1477256303assigned 03/22/2023
33bProvider typeDermatology Physician
28Total paid$2.28M
24GClaims125,870
24DCodes billed102
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers

Next to other Dermatology Physician providers in Tennessee

Rank by total paid#4 of 42
Median peer was paid$55K
This provider vs. median41×

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$100K$200K2018201920202021202220232024
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
202343,504$798K
2024incomplete82,366$1.48M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 18,904 15,610 $799K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 9,507 7,820 $314K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.1% 2,362 1,510 $117K
96160 4.8% 5,186 3,231 $109K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.0% 1,145 892 $90K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.8% 1,637 969 $86K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.6% 3,757 2,312 $82K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.6% 1,316 1,178 $82K
99222 Initial hospital care, per day, moderate complexity 3.1% 921 758 $72K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.3% 517 462 $53K
99238 Hospital discharge day management, 30 minutes or less 2.0% 974 830 $45K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.9% 7,451 5,683 $43K
90 more codes
90460 Immunization administration through 18 years of age via any route, first or only component 1.8% 4,943 $41K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.7% 1,107 $39K
96161 1.5% 1,581 $34K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 82 $22K
90834 Psychotherapy session, about 45 minutes <1% 401 $21K
93000 <1% 1,529 $21K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 143 $18K
93304 <1% 363 $18K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 331 $17K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 458 $13K
93325 <1% 1,001 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 103 $10K
93321 <1% 709 $9K
99177 <1% 1,066 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 1,074 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 27 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 113 $6K
95812 <1% 112 $6K
99232 Hospital visit by a doctor, follow-up day <1% 117 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 58 $4K
76830 Ultrasound, transvaginal <1% 54 $4K
92551 <1% 687 $4K
95251 <1% 209 $4K
99173 <1% 498 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 136 $4K
99205 Prolong outpt/office vis <1% 27 $4K
93228 <1% 232 $3K
95806 <1% 32 $3K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 31 $3K
64615 <1% 51 $3K
95720 <1% 12 $3K
81025 <1% 353 $2K
51798 <1% 143 $2K
92587 <1% 69 $2K
99480 Subsequent intensive care, per day, low birth weight infant <1% 31 $2K
81002 <1% 542 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 14 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 66 $2K
99460 <1% 35 $1K
93298 <1% 125 $1K
96127 <1% 261 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 12 $940.37
85027 <1% 92 $881.54
99464 <1% 14 $812.35
82962 <1% 573 $785.07
81003 <1% 397 $755.80
76801 <1% 13 $741.42
20610 <1% 15 $696.46
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 13 $622.76
11102 <1% 16 $609.97
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $606.04
99490 Ccm add 20min <1% 16 $582.90
J1040 Injection, methylprednisolone acetate, 80 mg <1% 76 $569.82
73630 <1% 30 $539.44
94010 <1% 40 $517.83
17110 <1% 13 $502.07
85007 <1% 90 $458.65
93288 <1% 33 $347.91
73620 <1% 17 $324.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 $304.50
93289 <1% 19 $268.16
76942 <1% 16 $267.05
73562 <1% 14 $254.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 2,135 $244.60
73600 <1% 17 $217.78
90697 <1% 780 $186.57
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 59 $181.30
J1010 Injection, methylprednisolone acetate, 1 mg <1% 36 $166.29
92558 <1% 22 $163.62
93296 <1% 23 $139.20
90680 <1% 415 $119.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 80 $61.61
85018 <1% 12 $43.80
96380 <1% 66 $20.00
3078F <1% 9,253 $10.00
90671 0% 173 $0.00
90633 0% 188 $0.00
3077F 0% 54 $0.00
90661 0% 55 $0.00
3008F 0% 25,511 $0.00
3044F 0% 724 $0.00
90686 0% 684 $0.00
3074F 0% 8,515 $0.00
90677 0% 1,219 $0.00
3048F 0% 247 $0.00
90674 0% 174 $0.00
3079F 0% 448 $0.00
3075F 0% 88 $0.00
90657 0% 323 $0.00
90656 0% 431 $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 officialDEJACO, LYNN (CFO, EVP)
Parent organizationERLANGER HEALTH
Same official

Other billing entities under DEJACO, LYNN

Full network →
ProviderLocationPaid
Erlanger HealthChattanooga, TN$3.27M
Erlanger HealthPikeville, TN$281K

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