State of Tennessee
State of Tennessee was paid $588K by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 33% of everything it billed.
CROSSVILLE, TN 38555
Next to other Public Health or Welfare Agency providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,531 | $100K | |
| 2019 | 9,440 | $166K | |
| 2020 | 4,108 | $74K | |
| 2021 | 3,219 | $55K | |
| 2022 | 3,943 | $65K | |
| 2023 | 4,560 | $72K | |
| 2024incomplete | 3,194 | $58K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 33% | 4,767 | 4,478 | $195K |
| 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% | 3,447 | 2,719 | $134K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 539 | 488 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 1,432 | 1,184 | $39K |
| 99401 | 6.5% | 1,559 | 1,235 | $38K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 344 | 314 | $22K |
| D1206 | Topical application of fluoride varnish | 3.2% | 1,023 | 1,019 | $19K |
| 90651 | 2.6% | 394 | 348 | $15K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 1,211 | 1,095 | $13K |
| D0190 | 1.8% | 992 | 988 | $11K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.6% | 405 | 375 | $9K |
| 81025 | 1.0% | 1,209 | 1,023 | $6K |
43 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 4,319 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 703 | $5K |
| 96127 | <1% | 1,138 | $5K | |
| 90688 | <1% | 1,433 | $4K | |
| 92551 | <1% | 412 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 52 | $3K |
| 0001A | <1% | 79 | $2K | |
| 99381 | <1% | 34 | $2K | |
| 99402 | <1% | 43 | $2K | |
| 90677 | <1% | 121 | $2K | |
| 90670 | <1% | 1,264 | $2K | |
| 0002A | <1% | 55 | $2K | |
| 90716 | <1% | 382 | $1K | |
| 90715 | <1% | 326 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99173 | <1% | 296 | $818.30 | |
| 90707 | <1% | 399 | $779.63 | |
| 90734 | <1% | 147 | $647.46 | |
| 36416 | <1% | 537 | $604.11 | |
| D1351 | Sealant - per tooth | <1% | 50 | $498.10 |
| D1120 | Dental cleaning, child | <1% | 13 | $443.69 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $414.40 |
| 90619 | <1% | 30 | $388.29 | |
| 94250 | <1% | 31 | $353.87 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $263.51 |
| 90710 | <1% | 48 | $238.04 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 23 | $198.91 |
| 90656 | <1% | 20 | $184.99 | |
| 90633 | <1% | 710 | $183.19 | |
| 90680 | <1% | 262 | $155.20 | |
| 90461 | <1% | 2,952 | $135.12 | |
| 90697 | <1% | 219 | $132.31 | |
| 85018 | <1% | 34 | $89.04 | |
| 90698 | <1% | 816 | $82.64 | |
| 90686 | <1% | 136 | $75.00 | |
| 90696 | <1% | 108 | $47.17 | |
| 90744 | <1% | 264 | $22.02 | |
| 99000 | 0% | 47 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 13 | $0.00 |
| 91300 | 0% | 22 | $0.00 | |
| 90661 | 0% | 24 | $0.00 | |
| 90687 | 0% | 16 | $0.00 | |
| 90671 | 0% | 39 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Cookeville, TN | $546K |
| State of Tennessee | Mc Minnville, TN | $293K |
| State of Tennessee | Sparta, TN | $170K |
| State of Tennessee | Jamestown, TN | $135K |
| State of Tennessee | Smithville, TN | $109K |
| State of Tennessee | Livingston, TN | $106K |
| State of Tennessee | Gainesboro, TN | $94K |
| State of Tennessee | Lafayette, TN | $68K |
| State of Tennessee | Celina, TN | $60K |
| State of Tennessee | Woodbury, TN | $38K |
| State of Tennessee | Carthage, TN | $34K |
| State of Tennessee | Byrdstown, TN | $25K |
| State of Tennessee | Spencer, TN | $10K |
| State of Tennessee | Cookeville, TN | $462.83 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.