Agency
Tennesee Department of Health
Tennesee Department of Health was paid $483K by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 33% of everything it billed.
33Billing provider infoTENNESEE DEPARTMENT OF HEALTH
CLEVELAND, TN 37311
CLEVELAND, TN 37311
33aNPI1558408500assigned 01/31/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$483K
24GClaims30,855
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#15 of 109
Median peer was paid$121K
This provider vs. median4.0×
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 MCCARTHY, RICHARD controls 12+ 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 | 7,952 | $114K | |
| 2019 | 9,978 | $160K | |
| 2020 | 3,355 | $54K | |
| 2021 | 1,908 | $35K | |
| 2022 | 2,805 | $44K | |
| 2023 | 3,268 | $53K | |
| 2024incomplete | 1,589 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 33% | 4,705 | 4,427 | $157K |
| 99401 | 16% | 3,036 | 2,579 | $79K | |
| D1206 | Topical application of fluoride varnish | 8.6% | 2,132 | 2,103 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 328 | 296 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.9% | 1,264 | 1,135 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 316 | 162 | $18K |
| D0190 | 3.2% | 1,366 | 1,344 | $15K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 348 | 347 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 140 | 129 | $11K |
| 81025 | 2.1% | 2,163 | 1,788 | $10K | |
| D0330 | Panoramic radiographic image | 2.1% | 342 | 332 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 316 | 316 | $8K |
42 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 724 | $8K |
| 92551 | 1.5% | 993 | $7K | |
| 90651 | 1.1% | 416 | $5K | |
| D0120 | Dental checkup, returning patient | 1.1% | 212 | $5K |
| 83655 | <1% | 319 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 179 | $4K |
| 96127 | <1% | 954 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 96 | $4K |
| 94250 | <1% | 246 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 404 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 203 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 239 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $2K |
| 99173 | <1% | 745 | $2K | |
| 99383 | <1% | 21 | $2K | |
| 36416 | <1% | 740 | $2K | |
| 90734 | <1% | 235 | $1K | |
| 85018 | <1% | 488 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 82 | $1K |
| 99201 | <1% | 49 | $1K | |
| 90715 | <1% | 403 | $1K | |
| 90716 | <1% | 238 | $1K | |
| 90686 | <1% | 1,969 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 517 | $980.11 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | $916.11 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 158 | $882.73 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $874.63 |
| 0002A | <1% | 26 | $868.88 | |
| 99177 | <1% | 143 | $832.57 | |
| 90707 | <1% | 295 | $813.44 | |
| D1351 | Sealant - per tooth | <1% | 105 | $580.14 |
| 0001A | <1% | 23 | $574.44 | |
| 90670 | <1% | 253 | $321.32 | |
| 90461 | <1% | 1,994 | $157.64 | |
| 90619 | <1% | 46 | $129.43 | |
| 90633 | <1% | 494 | $35.04 | |
| 90656 | <1% | 17 | $23.53 | |
| 90744 | 0% | 42 | $0.00 | |
| 90698 | 0% | 143 | $0.00 | |
| 90696 | 0% | 55 | $0.00 | |
| 90688 | 0% | 23 | $0.00 | |
| 90710 | 0% | 31 | $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 officialMCCARTHY, RICHARD (ACCOUNTING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Tropical Garden Villas INC. | Lake Park, FL | $452K |
| State of Tennessee | Winchester, TN | $372K |
| State of Tennessee | Decatur, TN | $124K |
| Tennessee Department of Health | Athens, TN | $123K |
| State of Tennessee | Evensville, TN | $100K |
| State of Tennessee | Jasper, TN | $100K |
| State of Tennessee | Dunlap, TN | $61K |
| State of Tennessee | Altamont, TN | $50K |
| State of Tennessee | Benton, TN | $30K |
| State of Tennessee | Copperhill, TN | $27K |
| State of Tennesseee | Pikeville, TN | $12K |
| Shore Health and Rehab Products INC | Neptune, NJ | $969.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.