University Health System, INC
University Health System, INC was paid $475K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
KNOXVILLE, TN 37938
Next to other Family Medicine Physician providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,041 | $32K | |
| 2019 | 1,815 | $65K | |
| 2020 | 1,911 | $57K | |
| 2021 | 3,292 | $81K | |
| 2022 | 5,374 | $75K | |
| 2023 | 8,546 | $97K | |
| 2024incomplete | 4,465 | $69K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 68% | 7,577 | 6,013 | $321K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,885 | 2,361 | $99K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.3% | 354 | 274 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 475 | 261 | $5K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 727 | 569 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 141 | 116 | $4K |
| 90686 | <1% | 380 | 293 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 63 | 36 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 148 | 118 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 416 | 263 | $1K |
| 3078F | <1% | 3,736 | 3,105 | $1K | |
| 3074F | <1% | 4,018 | 3,337 | $911.99 |
19 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 606 | $821.37 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 51 | $381.90 |
| 3079F | <1% | 368 | $290.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 159 | $257.41 |
| 81003 | <1% | 115 | $139.86 | |
| 3075F | <1% | 119 | $80.00 | |
| 36416 | <1% | 130 | $70.35 | |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | $5.49 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 2,301 | $0.02 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 813 | $0.00 |
| 3044F | 0% | 61 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 59 | $0.00 |
| 1170F | 0% | 23 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 117 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 86 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 441 | $0.00 |
| 1160F | 0% | 19 | $0.00 | |
| 1159F | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| University Health System, INC | Knoxville, TN | $16.73M |
| University Health System, INC | Knoxville, TN | $1.53M |
| Uhs Ventures INC | New Tazewell, TN | $1.09M |
| University Emergency Obstetrics LLC | Knoxville, TN | $802K |
| University Health System INC | Knoxville, TN | $621K |
| University Health System, INC | Knoxville, TN | $452K |
| University Health System, INC | Knoxville, TN | $356K |
| University Health System, INC | Knoxville, TN | $314K |
| University Health System, INC | Knoxville, TN | $287K |
| University Health System, INC | Knoxville, TN | $286K |
| University Health System, INC | Knoxville, TN | $271K |
| University Health System, INC | Knoxville, TN | $266K |
| University Health System, INC | Knoxville, TN | $238K |
| University Health System INC | Knoxville, TN | $176K |
| University Health System, INC | Knoxville, TN | $145K |
| University Health System, INC | Sevierville, TN | $132K |
| University Health System, INC | Knoxville, TN | $128K |
| University Health System, INC | Knoxville, TN | $111K |
| University Health System, INC | Knoxville, TN | $104K |
| University Health System, INC | Knoxville, TN | $100K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.