Prisma Health - Blount Memorial Hospital INC.
Prisma Health - Blount Memorial Hospital INC. was paid $233K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 47% of everything it billed.
MARYVILLE, TN 37804
Next to other Oxygen Equipment & Supplies (DME) 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 | 1,867 | $23K | |
| 2019 | 3,720 | $20K | |
| 2020 | 4,244 | $21K | |
| 2021 | 6,396 | $36K | |
| 2022 | 6,286 | $43K | |
| 2023 | 6,786 | $52K | |
| 2024incomplete | 5,115 | $37K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 47% | 8,107 | 5,829 | $109K |
| E0601 | Continuous positive airway pressure (cpap) device | 7.8% | 1,704 | 1,317 | $18K |
| A7030 | Full face mask used with positive airway pressure device, each | 6.4% | 680 | 488 | $15K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 6.0% | 4,751 | 3,416 | $14K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 5.0% | 1,135 | 844 | $12K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 4.9% | 1,451 | 1,004 | $11K |
| A7031 | Face mask interface, replacement for full face mask, each | 4.8% | 1,371 | 988 | $11K |
| K0001 | Standard wheelchair | 4.7% | 3,132 | 2,175 | $11K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 3.6% | 2,943 | 2,176 | $8K |
| E1392 | Portable oxygen concentrator, rental | 3.1% | 1,311 | 973 | $7K |
| E0570 | Nebulizer, with compressor | 2.8% | 4,661 | 3,224 | $6K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 1.5% | 169 | 134 | $3K |
5 more codes
| A7038 | Filter, disposable, used with positive airway pressure device | 1.0% | 2,159 | $2K |
| A7035 | Headgear used with positive airway pressure device | <1% | 464 | $2K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 307 | $2K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 50 | $85.85 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 19 | $40.00 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.