East Tennessee Children's Hospital Association INC.
East Tennessee Children's Hospital Association INC. was paid $335K by Medicaid between Jan 2023 and Dec 2024, across 10 billing codes. Its largest line is 99239, Hospital discharge day management, more than 30 minutes — 49% of everything it billed.
KNOXVILLE, TN 37916
Next to other Pediatric Critical Care Medicine Physician 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 | |
|---|---|---|---|
| 2023 | 2,686 | $208K | |
| 2024incomplete | 1,781 | $128K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99239 | Hospital discharge day management, more than 30 minutes | 49% | 2,136 | 1,697 | $166K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 658 | 347 | $48K |
| 99223 | Prolong inpt eval add15 m | 10% | 265 | 210 | $35K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 646 | 387 | $34K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.7% | 157 | 128 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 150 | 146 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 140 | 126 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 241 | 199 | $7K |
| 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 | 1.3% | 51 | 40 | $4K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 23 | 13 | $4K |
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.