Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY HEALTH SYSTEM, INC

NPI: 1518138916 · KNOXVILLE, TN 37912 · Pediatrics Physician · NPI assigned 03/13/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MAYNARD, BETH controls 20+ related entities in our dataset. Read more

$16.73M
Total Medicaid Paid
745,004
Total Claims
613,565
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAYNARD, BETH (VICE PRESIDENT)
NPI Enumeration Date03/13/2008

Related Entities

Other providers sharing the same authorized official: MAYNARD, BETH

ProviderCityStateTotal Paid
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $1.53M
UHS VENTURES INC NEW TAZEWELL TN $1.09M
UNIVERSITY EMERGENCY OBSTETRICS LLC KNOXVILLE TN $802K
UNIVERSITY HEALTH SYSTEM INC KNOXVILLE TN $621K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $475K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $452K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $356K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $314K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $287K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $286K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $271K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $266K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $238K
UNIVERSITY HEALTH SYSTEM INC KNOXVILLE TN $176K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $145K
UNIVERSITY HEALTH SYSTEM, INC SEVIERVILLE TN $132K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $128K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $111K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $104K
UNIVERSITY HEALTH SYSTEM, INC KNOXVILLE TN $100K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 102,726 $2.47M
2019 119,360 $2.81M
2020 103,433 $2.36M
2021 123,372 $2.77M
2022 109,275 $2.41M
2023 102,223 $2.15M
2024 84,615 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55,301 47,431 $4.08M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 78,806 67,918 $3.85M
90460 Immunization administration through 18 years of age via any route, first or only component 34,407 29,374 $1.67M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20,217 18,015 $1.61M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21,326 18,479 $1.50M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,427 9,992 $873K
96110 Developmental screening, with scoring and documentation, per standardized instrument 23,794 16,452 $556K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,494 2,941 $297K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 35,897 30,389 $272K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20,823 9,284 $229K
92552 10,693 8,921 $217K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 19,470 17,326 $214K
96161 14,882 12,489 $198K
96127 40,299 26,744 $190K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,551 7,538 $126K
90472 Immunization administration, each additional vaccine (list separately) 4,756 4,158 $91K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,424 2,017 $89K
99381 1,077 877 $78K
36416 40,350 33,632 $59K
99173 11,285 9,294 $59K
80061 Lipid panel 3,937 3,332 $58K
1160F 66,618 55,091 $44K
83655 3,746 3,134 $44K
1159F 63,771 52,818 $41K
69210 1,050 826 $40K
96160 2,947 2,390 $38K
81003 15,469 12,376 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 904 781 $28K
3008F 14,151 11,619 $20K
99383 250 164 $19K
90670 14,571 12,758 $16K
99382 191 129 $16K
90461 21,898 19,013 $16K
90474 854 741 $9K
90716 4,271 3,703 $8K
90707 4,685 4,034 $6K
85018 2,646 2,057 $5K
99384 55 34 $5K
90677 1,420 1,344 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 189 156 $4K
90723 11,406 10,067 $4K
90651 805 644 $4K
90633 5,364 4,636 $3K
90686 8,185 7,121 $3K
82948 569 475 $2K
36415 Collection of venous blood by venipuncture 847 767 $2K
90734 523 443 $2K
90647 8,665 7,685 $2K
99401 64 45 $1K
90681 2,976 2,637 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 72 57 $1K
90680 1,471 1,237 $897.25
90696 623 534 $480.50
90648 3,295 2,833 $217.35
90700 497 408 $157.80
86308 21 18 $90.52
82272 19 13 $43.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 12 $16.42
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,633 1,422 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 214 202 $0.00
3351F 638 571 $0.00
90688 1,608 1,373 $0.00
3048F 692 578 $0.00
90674 199 175 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 15 13 $0.00
3352F 35 14 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 2,052 1,875 $0.00
99072 7,608 6,118 $0.00
G8482 Influenza immunization administered or previously received 1,265 1,148 $0.00
4274F 381 360 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 17 13 $0.00
90715 116 99 $0.00
90685 213 201 $0.00