Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

NPI: 1548466220 · KNOXVILLE, TN 37918 · Primary Care Clinic/Center · NPI assigned 06/21/2007

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

Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more

$1.42M
Total Medicaid Paid
49,438
Total Claims
42,248
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
NPI Enumeration Date06/21/2007

Related Entities

Other providers sharing the same authorized official: ROSENDAHL, ANDREW

ProviderCityStateTotal Paid
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $88.61M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $31.61M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $3.45M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $2.57M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. OAK RIDGE TN $2.38M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.83M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEVIERVILLE TN $1.65M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.58M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.03M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $990K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $883K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $724K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. LA FOLLETTE TN $694K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. CLINTON TN $671K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $654K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. ALCOA TN $547K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEYMOUR TN $522K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $352K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,450 $201K
2019 3,816 $82K
2020 4,923 $119K
2021 5,829 $174K
2022 7,084 $235K
2023 7,865 $269K
2024 11,471 $339K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,007 6,609 $546K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,558 1,348 $154K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,692 1,419 $148K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,314 1,153 $134K
90460 Immunization administration through 18 years of age via any route, first or only component 3,080 2,747 $133K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 934 837 $98K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,025 3,136 $60K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,403 4,598 $27K
80061 Lipid panel 2,323 2,016 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 122 118 $14K
99177 2,560 2,266 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 293 261 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 664 603 $11K
96161 1,045 878 $7K
92551 522 479 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 130 115 $5K
96127 850 767 $5K
3008F 3,016 2,673 $5K
36416 5,120 4,307 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 313 274 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 212 183 $3K
81003 2,164 1,819 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 218 192 $2K
99381 12 12 $2K
86738 180 149 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 16 $872.27
92567 58 47 $840.43
83655 75 54 $578.63
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 13 $361.50
90677 258 237 $298.04
87807 31 29 $232.38
36415 Collection of venous blood by venipuncture 296 265 $185.02
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 55 50 $93.84
90686 837 717 $85.76
90656 137 133 $44.70
90670 544 484 $0.00
90633 26 24 $0.00
90685 29 23 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 55 50 $0.00
90680 438 409 $0.00
90723 449 419 $0.00
90647 360 319 $0.00