Physician
University Health System, INC
University Health System, INC was paid $16.73M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoUNIVERSITY HEALTH SYSTEM, INC
KNOXVILLE, TN 37912
KNOXVILLE, TN 37912
33aNPI1518138916assigned 03/13/2008
33bProvider typePediatrics Physician
28Total paid$16.73M
24GClaims745,004
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#5 of 333
Median peer was paid$139K
This provider vs. median120×
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 MAYNARD, BETH controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 84,615 | $1.76M |
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 | 24% | 55,301 | 47,431 | $4.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 78,806 | 67,918 | $3.85M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 34,407 | 29,374 | $1.67M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 20,217 | 18,015 | $1.61M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 21,326 | 18,479 | $1.50M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 11,427 | 9,992 | $873K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 23,794 | 16,452 | $556K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 3,494 | 2,941 | $297K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 35,897 | 30,389 | $272K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 20,823 | 9,284 | $229K |
| 92552 | 1.3% | 10,693 | 8,921 | $217K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 19,470 | 17,326 | $214K |
61 more codes
| 96161 | 1.2% | 14,882 | $198K | |
| 96127 | 1.1% | 40,299 | $190K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,551 | $126K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,756 | $91K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,424 | $89K |
| 99381 | <1% | 1,077 | $78K | |
| 36416 | <1% | 40,350 | $59K | |
| 99173 | <1% | 11,285 | $59K | |
| 80061 | Lipid panel | <1% | 3,937 | $58K |
| 1160F | <1% | 66,618 | $44K | |
| 83655 | <1% | 3,746 | $44K | |
| 1159F | <1% | 63,771 | $41K | |
| 69210 | <1% | 1,050 | $40K | |
| 96160 | <1% | 2,947 | $38K | |
| 81003 | <1% | 15,469 | $29K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 904 | $28K |
| 3008F | <1% | 14,151 | $20K | |
| 99383 | <1% | 250 | $19K | |
| 90670 | <1% | 14,571 | $16K | |
| 99382 | <1% | 191 | $16K | |
| 90461 | <1% | 21,898 | $16K | |
| 90474 | <1% | 854 | $9K | |
| 90716 | <1% | 4,271 | $8K | |
| 90707 | <1% | 4,685 | $6K | |
| 85018 | <1% | 2,646 | $5K | |
| 99384 | <1% | 55 | $5K | |
| 90677 | <1% | 1,420 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 189 | $4K |
| 90723 | <1% | 11,406 | $4K | |
| 90651 | <1% | 805 | $4K | |
| 90633 | <1% | 5,364 | $3K | |
| 90686 | <1% | 8,185 | $3K | |
| 82948 | <1% | 569 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 847 | $2K |
| 90734 | <1% | 523 | $2K | |
| 90647 | <1% | 8,665 | $2K | |
| 99401 | <1% | 64 | $1K | |
| 90681 | <1% | 2,976 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 72 | $1K |
| 90680 | <1% | 1,471 | $897.25 | |
| 90696 | <1% | 623 | $480.50 | |
| 90648 | <1% | 3,295 | $217.35 | |
| 90700 | <1% | 497 | $157.80 | |
| 86308 | <1% | 21 | $90.52 | |
| 82272 | <1% | 19 | $43.04 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $16.42 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,633 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 214 | $0.00 |
| 3351F | 0% | 638 | $0.00 | |
| 90688 | 0% | 1,608 | $0.00 | |
| 3048F | 0% | 692 | $0.00 | |
| 90674 | 0% | 199 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 15 | $0.00 |
| 3352F | 0% | 35 | $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) | 0% | 2,052 | $0.00 |
| 99072 | 0% | 7,608 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,265 | $0.00 |
| 4274F | 0% | 381 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 17 | $0.00 |
| 90715 | 0% | 116 | $0.00 | |
| 90685 | 0% | 213 | $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 officialMAYNARD, BETH (VICE PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.