Clinic
East Tennessee State University
East Tennessee State University was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoEAST TENNESSEE STATE UNIVERSITY
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1477660199assigned 08/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.36M
24GClaims60,181
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#16 of 90
Median peer was paid$87K
This provider vs. median16×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,790 | $257K | |
| 2019 | 10,282 | $242K | |
| 2020 | 10,322 | $217K | |
| 2021 | 8,840 | $225K | |
| 2022 | 8,030 | $200K | |
| 2023 | 7,053 | $157K | |
| 2024incomplete | 3,864 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 7,354 | 6,004 | $308K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 9,105 | 7,489 | $298K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 6,774 | 2,783 | $121K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.5% | 2,881 | 2,198 | $103K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 1,570 | 1,237 | $96K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.4% | 1,847 | 833 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 1,014 | 807 | $73K |
| 96160 | 5.2% | 6,761 | 3,436 | $71K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 1,093 | 809 | $62K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 462 | 326 | $23K |
| 96127 | 1.7% | 3,939 | 2,200 | $23K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 356 | 106 | $13K |
48 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 171 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 187 | $9K |
| D1110 | Prophylaxis - adult | <1% | 210 | $9K |
| 90837 | Psychotherapy session, about an hour | <1% | 117 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 313 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 63 | $6K |
| 3008F | <1% | 4,608 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 169 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 80 | $4K |
| D0120 | Dental checkup, returning patient | <1% | 158 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 50 | $4K |
| 92551 | <1% | 453 | $3K | |
| 81003 | <1% | 2,128 | $3K | |
| 99173 | <1% | 357 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 53 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 19 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 122 | $1K |
| 81002 | <1% | 457 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 43 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 16 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $846.92 |
| 90461 | <1% | 2,030 | $737.66 | |
| 96161 | <1% | 139 | $620.41 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 44 | $538.27 |
| 90651 | <1% | 450 | $516.00 | |
| 99406 | <1% | 122 | $497.87 | |
| G0467 | Community health center visit, returning patient | <1% | 28 | $449.87 |
| D0330 | Panoramic radiographic image | <1% | 13 | $420.75 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | $315.26 |
| 36416 | <1% | 339 | $243.78 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 76 | $199.54 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 20 | $197.00 |
| 90734 | <1% | 188 | $165.61 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $140.35 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | $138.54 |
| 90686 | <1% | 602 | $72.94 | |
| 90756 | <1% | 18 | $70.71 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 17 | $50.91 |
| 90688 | 0% | 442 | $0.00 | |
| 90680 | 0% | 22 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 214 | $0.00 |
| 0502F | 0% | 1,878 | $0.00 | |
| 90670 | 0% | 214 | $0.00 | |
| 99072 | 0% | 98 | $0.00 | |
| 90633 | 0% | 84 | $0.00 | |
| 90685 | 0% | 41 | $0.00 | |
| 90715 | 0% | 42 | $0.00 | |
| 90687 | 0% | 19 | $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 officialKING, BETTY (SENIOR ASSOCIATE VICE PRESIDENT F&A)
| Provider | Location | Paid |
|---|---|---|
| East Tennessee State University | Mountain City, TN | $698K |
| East Tennessee State University | Sneedville, TN | $458K |
| East Tennessee State University | Johnson City, TN | $50K |
| East Tennessee State University | Johnson City, TN | $6K |
| East Tennessee State University | Johnson City, TN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.