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

East Tennessee Children's Hospital Association INC.

East Tennessee Children's Hospital Association INC. was paid $232K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
KNOXVILLE, TN 37916
33aNPI1477941375assigned 12/30/2014
28Total paid$232K
24GClaims3,621
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Genetics (M.D.) Physician providers in Tennessee

Rank by total paid#2 of 6
Median peer was paid$46K
This provider vs. median5.0×

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.

Entity ProliferationAuthorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018318$18K
2019441$23K
2020485$27K
2021661$43K
2022403$25K
2023737$54K
2024incomplete576$42K
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 38% 1,230 1,115 $89K
96040 28% 1,747 1,570 $65K
99205 Prolong outpt/office vis 25% 378 313 $57K
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 2.7% 58 57 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.4% 52 38 $6K
99244 Office or other outpatient consultation, moderate to high complexity 1.4% 28 27 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 74 64 $3K
99245 <1% 12 12 $2K
97803 <1% 42 41 $618.66

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 officialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent organizationEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Same official

Other billing entities under ROSENDAHL, ANDREW

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