Hospital
Vanderbilt University Medical Center
Vanderbilt University Medical Center was paid $270K by Medicaid between Jan 2018 and Apr 2024, across 20 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 70% of everything it billed.
33Billing provider infoVANDERBILT UNIVERSITY MEDICAL CENTER
NASHVILLE, TN 37212
NASHVILLE, TN 37212
33aNPI1558408633assigned 01/30/2007
33bProvider typePsychiatric Hospital
28Total paid$270K
24GClaims6,813
24DCodes billed20
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Psychiatric Hospital providers in Tennessee
Rank by total paid#11 of 15
Median peer was paid$356K
This provider vs. median0.8×
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 SIMMONS, ANGELA 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 | 2,599 | $25K | |
| 2019 | 803 | $20K | |
| 2020 | 1,259 | $33K | |
| 2021 | 424 | $32K | |
| 2022 | 1,077 | $89K | |
| 2023 | 423 | $44K | |
| 2024incomplete | 228 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 70% | 595 | 101 | $190K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 23% | 1,659 | 1,299 | $61K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 4.5% | 1,278 | 1,063 | $12K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.5% | 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 | <1% | 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 | <1% | 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 | <1% | 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) | <1% | 569 | 89 | $160.65 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 255 | 193 | $115.15 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 13 | 13 | $102.78 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 327 | 263 | $84.36 |
| 80053 | Comprehensive metabolic panel | <1% | 208 | 165 | $52.10 |
8 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 25 | $47.94 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 77 | $45.06 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 338 | $23.03 |
| 81025 | 0% | 33 | $0.00 | |
| 80305 | 0% | 14 | $0.00 | |
| 82077 | 0% | 26 | $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 | 0% | 42 | $0.00 |
| 80320 | 0% | 19 | $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 officialSIMMONS, ANGELA (VO FINANCE-REVENUE AND REIMBURSEMEN)
Parent organizationVANDERBILT UNIVERSITY MEDICAL CENTER
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.