Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

NPI: 1659576825 · KNOXVILLE, TN 37918 · Pediatric Nurse Practitioner · NPI assigned 06/18/2007

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

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

$654K
Total Medicaid Paid
21,725
Total Claims
18,620
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
NPI Enumeration Date06/18/2007

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 $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. 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 8,197 $193K
2019 1,747 $58K
2020 2,497 $74K
2021 3,501 $111K
2022 3,036 $110K
2023 2,346 $93K
2024 401 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,229 3,674 $268K
90460 Immunization administration through 18 years of age via any route, first or only component 3,344 2,868 $134K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 636 562 $59K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 565 480 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 570 407 $43K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 315 275 $32K
92551 1,547 1,286 $17K
99177 3,081 2,629 $16K
3008F 2,661 2,297 $7K
96161 518 424 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 734 613 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 312 286 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 32 30 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 101 89 $3K
90791 Psychiatric diagnostic evaluation 13 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 105 100 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 112 98 $1K
36416 606 507 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 22 20 $1K
83655 56 56 $829.64
99381 18 13 $796.29
96127 127 115 $728.92
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $615.72
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 32 31 $550.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 44 $506.44
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 25 15 $279.94
82465 124 95 $85.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 15 $65.73
90686 683 609 $24.15
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 25 15 $0.66
90670 285 254 $0.00
90685 50 41 $0.00
90707 68 60 $0.00
90633 40 40 $0.00
90680 136 124 $0.00
90723 171 156 $0.00
90716 52 45 $0.00
90674 106 97 $0.00
90647 148 126 $0.00