STATE OF TENNESSEE
NPI: 1497892343
· DUNLAP, TN 37327
· Public Health or Welfare Agency
· NPI assigned 01/31/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCCARTHY, RICHARD controls 12+ related entities in our dataset. Read more
Provider Details
| Authorized Official | MCCARTHY, RICHARD (ACCOUNTING MANAGER) |
| Parent Organization | TENNESEE DEPARTMENT OF HEALTH |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: MCCARTHY, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
904 |
$13K |
| 2019 |
1,254 |
$24K |
| 2020 |
474 |
$10K |
| 2021 |
129 |
$3K |
| 2022 |
95 |
$3K |
| 2023 |
168 |
$4K |
| 2024 |
139 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,409 |
1,279 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
195 |
168 |
$2K |
| 90651 |
|
107 |
94 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 90734 |
|
133 |
120 |
$755.37 |
| 90686 |
|
401 |
353 |
$355.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$287.00 |
| 90715 |
|
82 |
73 |
$254.93 |
| D0190 |
|
15 |
15 |
$168.00 |
| 90619 |
|
14 |
14 |
$129.43 |
| 92551 |
|
12 |
12 |
$87.98 |
| 99173 |
|
12 |
12 |
$34.64 |
| 90461 |
|
670 |
600 |
$0.00 |
| 90670 |
|
84 |
78 |
$0.00 |