Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

NPI: 1588094494 · KNOXVILLE, TN 37916 · Pediatrics Physician · NPI assigned 11/14/2013

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

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

$756K
Total Medicaid Paid
11,613
Total Claims
10,296
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
NPI Enumeration Date11/14/2013

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 PRIMARY CARE CENTER, INC. KNOXVILLE TN $1.42M
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 $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 885 $55K
2019 1,500 $84K
2020 1,609 $86K
2021 1,635 $95K
2022 1,533 $89K
2023 2,335 $167K
2024 2,116 $181K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,859 9,625 $711K
99215 Prolong outpt/office vis 432 378 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 264 247 $5K
99205 Prolong outpt/office vis 20 16 $3K
96112 19 15 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 19 15 $260.16