Medicaid Provider Spending

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

VANDERBILT UNIVERSITY MEDICAL CENTER

NPI: 1558408633 · NASHVILLE, TN 37212 · Psychiatric Hospital · NPI assigned 01/30/2007

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

Authorized official SIMMONS, ANGELA controls 12+ related entities in our dataset. Read more

$270K
Total Medicaid Paid
6,813
Total Claims
4,152
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialSIMMONS, ANGELA (VO FINANCE-REVENUE AND REIMBURSEMEN)
Parent OrganizationVANDERBILT UNIVERSITY MEDICAL CENTER
NPI Enumeration Date01/30/2007

Related Entities

Other providers sharing the same authorized official: SIMMONS, ANGELA

ProviderCityStateTotal Paid
VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN $137.59M
VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN $29.07M
VANDERBILT BEDFORD HOSPITAL, LLC SHELBYVILLE TN $4.41M
VANDERBILT COFFEE HOSPITAL, LLC TULLAHOMA TN $4.09M
VANDERBILT BEDFORD HOSPITAL, LLC SHELBYVILLE TN $2.02M
VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN $1.01M
VANDERBILT BEDFORD HOSPITAL, LLC SHELBYVILLE TN $926K
VANDERBILT BEDFORD HOSPITAL, LLC WARTRACE TN $157K
VANDERBILT BEDFORD HOSPITAL, LLC SHELBYVILLE TN $127K
VANDERBILT BEDFORD HOSPITAL, LLC UNIONVILLE TN $123K
VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN $27K
VANDERBILT BEDFORD HOSPITAL, LLC SHELBYVILLE TN $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,599 $25K
2019 803 $20K
2020 1,259 $33K
2021 424 $32K
2022 1,077 $89K
2023 423 $44K
2024 228 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 595 101 $190K
90792 Psychiatric diagnostic evaluation with medical services 1,659 1,299 $61K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,278 1,063 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 497 402 $4K
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 773 115 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 19 13 $256.55
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 46 37 $215.08
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 569 89 $160.65
90847 Family psychotherapy with the patient present, 50 minutes 255 193 $115.15
90791 Psychiatric diagnostic evaluation 13 13 $102.78
85025 Blood count; complete (CBC), automated, and automated differential WBC count 327 263 $84.36
80053 Comprehensive metabolic panel 208 165 $52.10
90832 Psychotherapy, 30 minutes with patient 25 12 $47.94
84443 Thyroid stimulating hormone (TSH) 77 59 $45.06
90834 Psychotherapy, 45 minutes with patient 338 222 $23.03
81025 33 28 $0.00
80305 14 13 $0.00
82077 26 24 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 42 25 $0.00
80320 19 16 $0.00