Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Greeneville › NPI 1699819003
Physician

Takoma Regional Hospital INC

Takoma Regional Hospital INC was paid $20.22M by Medicaid between Jan 2018 and Dec 2024, across 219 billing codes. Its largest line is 99284, emergency room visit (serious) — 28% of everything it billed.

33Billing provider infoTAKOMA REGIONAL HOSPITAL INC
GREENEVILLE, TN 37745
33aNPI1699819003assigned 02/18/2007
33bProvider typeFamily Medicine Physician
28Total paid$20.22M
24GClaims775,784
24DCodes billed219
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#7 of 754
Median peer was paid$34K
This provider vs. median599×

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 HILTON, SHANE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018104,335$2.23M
2019111,918$2.58M
202091,888$2.51M
2021104,980$3.18M
2022126,358$3.51M
2023131,725$3.26M
2024incomplete104,580$2.95M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 28% 30,246 26,886 $5.69M
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 14% 80,924 58,656 $2.79M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 13% 12,918 10,745 $2.66M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 16,439 15,044 $2.21M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 45,186 34,670 $1.14M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.8% 8,508 7,686 $770K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3.6% 5,312 2,429 $736K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.3% 3,467 1,514 $467K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.9% 9,666 3,019 $385K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.8% 49,400 39,032 $361K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.4% 3,919 3,608 $279K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.2% 6,897 2,143 $242K
207 more codes
99203 Doctor's office visit, new patient (routine) 1.0% 4,647 $212K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 46,877 $148K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 103 $122K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 13,079 $108K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,626 $93K
80053 Comprehensive metabolic panel <1% 41,781 $85K
36415 Collection of venous blood by venipuncture <1% 68,190 $74K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 1,395 $70K
43235 <1% 680 $70K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,610 $68K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 751 $65K
G0378 Hospital observation service, per hour <1% 719 $64K
99401 <1% 2,929 $63K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 932 $63K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 971 $61K
99204 Doctor's office visit, new patient (more involved) <1% 914 $55K
84484 <1% 9,119 $55K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 305 $46K
99215 Doctor's office visit, returning patient (complex) <1% 1,421 $46K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,092 $44K
97597 <1% 1,608 $37K
96375 Therapeutic injection; each additional sequential IV push <1% 5,857 $34K
84443 Thyroid stimulating hormone (TSH) <1% 9,681 $31K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,789 $31K
80061 Lipid panel <1% 10,625 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 10,970 $27K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 555 $26K
99443 <1% 1,736 $22K
81025 <1% 5,866 $22K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 6,218 $22K
70450 Computed tomography, head or brain; without contrast material <1% 1,503 $22K
90837 Psychotherapy session, about an hour <1% 231 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,988 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,759 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,759 $19K
96361 Intravenous infusion, hydration; each additional hour <1% 4,295 $19K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 564 $18K
99442 <1% 1,810 $18K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 264 $17K
90686 <1% 1,818 $17K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 15 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,031 $15K
83690 <1% 5,277 $15K
80305 <1% 1,739 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 406 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 351 $12K
83036 Hemoglobin; glycosylated (A1C) <1% 8,742 $12K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 331 $11K
71045 Radiologic examination, chest; single view <1% 7,709 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,264 $11K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 763 $10K
91200 <1% 1,104 $10K
90834 Psychotherapy session, about 45 minutes <1% 186 $10K
76801 <1% 143 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 205 $9K
87081 <1% 3,439 $8K
81001 <1% 14,381 $8K
71046 Radiologic examination, chest; 2 views <1% 1,877 $8K
43248 <1% 166 $8K
90715 <1% 207 $8K
84703 <1% 1,847 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,144 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 364 $7K
83880 <1% 1,705 $7K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 2,125 $7K
99205 Prolong outpt/office vis <1% 384 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,645 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 251 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 150 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 861 $6K
80055 <1% 389 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 430 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 662 $5K
84439 <1% 3,761 $5K
87653 <1% 262 $5K
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 <1% 389 $5K
80048 Basic metabolic panel (calcium, ionized) <1% 2,502 $4K
86803 <1% 831 $4K
11721 <1% 833 $4K
81003 <1% 7,800 $4K
82607 <1% 1,357 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 278 $4K
82652 <1% 470 $3K
76830 Ultrasound, transvaginal <1% 63 $3K
87040 <1% 882 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 60 $3K
82043 <1% 888 $3K
99441 <1% 316 $3K
74018 <1% 114 $3K
99221 <1% 96 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 443 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 34 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 519 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 102 $2K
82570 <1% 893 $2K
83735 <1% 899 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 122 $2K
99490 Ccm add 20min <1% 730 $1K
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% 508 $1K
83605 <1% 415 $1K
87015 <1% 262 $1K
G0475 Hiv antigen/antibody, combination assay, screening <1% 148 $1K
90677 <1% 41 $1K
11981 <1% 14 $1K
99406 <1% 260 $1K
99223 Prolong inpt eval add15 m <1% 31 $1K
82950 <1% 255 $1K
3074F <1% 27,160 $1K
85610 <1% 699 $1K
90792 Psychiatric diagnostic evaluation with medical services <1% 18 $1K
3078F <1% 25,462 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 19 $1K
85379 <1% 199 $968.48
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 13 $817.11
80076 <1% 466 $784.84
59025 Fetal non-stress test <1% 15 $748.00
85027 <1% 423 $707.95
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 108 $701.28
86900 <1% 57 $670.22
87420 <1% 93 $659.01
90791 Psychiatric diagnostic evaluation <1% 12 $620.92
94690 <1% 40 $603.92
86850 <1% 57 $581.55
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 23 $574.59
93018 <1% 61 $555.74
3079F <1% 2,486 $550.19
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,741 $520.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 129 $489.27
84436 <1% 370 $441.30
73562 <1% 53 $441.12
92250 <1% 17 $420.29
73630 <1% 61 $388.71
93016 <1% 41 $375.49
99307 <1% 23 $361.75
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 54 $358.63
84480 <1% 102 $302.32
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,838 $282.90
86592 <1% 222 $282.90
3077F <1% 2,053 $250.00
86901 <1% 57 $232.09
82150 <1% 103 $228.78
3075F <1% 2,684 $222.57
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,691 $190.59
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,224 $185.01
90662 <1% 174 $170.42
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 13 $160.41
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 54 $140.88
84550 <1% 146 $139.62
87340 <1% 108 $136.47
0358T <1% 56 $130.85
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 31 $121.97
87510 <1% 44 $107.81
87480 <1% 44 $107.80
87660 <1% 44 $105.85
87807 <1% 12 $104.08
86141 <1% 20 $87.24
G0444 Annual depression screening, 5 to 15 minutes <1% 221 $85.40
J2270 Injection, morphine sulfate, up to 10 mg <1% 404 $79.22
86140 <1% 44 $77.49
84153 <1% 69 $77.35
86762 <1% 56 $73.40
G0008 Administration of influenza virus vaccine <1% 1,075 $68.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 235 $66.24
J7030 Infusion, normal saline solution , 1000 cc <1% 6,671 $60.74
84100 <1% 59 $58.87
85730 <1% 17 $47.12
84154 <1% 25 $46.90
85652 <1% 13 $42.78
87077 <1% 533 $40.40
82397 <1% 15 $40.26
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 16 $38.55
96160 <1% 405 $36.23
96127 <1% 42 $35.91
87205 <1% 35 $35.08
81002 <1% 12 $33.14
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 32 $27.15
83525 <1% 15 $23.32
90653 <1% 26 $21.06
3080F <1% 294 $20.00
G0127 Trimming of dystrophic nails, any number <1% 16 $17.68
94664 <1% 46 $16.28
82746 <1% 40 $15.00
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 28 $12.24
0502F <1% 16,196 $10.00
3044F <1% 755 $10.00
84481 <1% 16 $8.64
85007 <1% 29 $5.25
87075 <1% 19 $4.82
87186 <1% 44 $4.41
87070 <1% 19 $4.39
J7120 Ringers lactate infusion, up to 1000 cc 0% 1,678 $0.00
99397 0% 44 $0.00
4010F 0% 6,989 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 0% 15 $0.00
0503F 0% 752 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 801 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 74 $0.00
J2704 Injection, propofol, 10 mg 0% 3,797 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 350 $0.00
A9270 Non-covered item or service 0% 761 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 264 $0.00
0500F 0% 169 $0.00
C1769 Guide wire 0% 46 $0.00
G0009 Administration of pneumococcal vaccine 0% 33 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 20 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 17 $0.00
94760 0% 42 $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 officialHILTON, SHANE (EVP/CFO)
Same official

Other billing entities under HILTON, SHANE

Full network →
ProviderLocationPaid
Johnston Memorial Hospital, INCAbingdon, VA$35.91M
Wellmont Health SystemBig Stone Gap, VA$33.71M
Mountain States Health AllianceJohnson City, TN$31.31M
Wellmont Medical Associates INCKingsport, TN$27.84M
Wellmont Health SystemBristol, TN$27.35M
Wellmont Health SystemKingsport, TN$17.64M
Mountain States Health AllianceKingsport, TN$15.47M
Smyth County Community HospitalMarion, VA$15.33M
Mountain States Health AllianceLebanon, VA$11.37M
Mountain States Health AlliancePennington Gap, VA$8.28M
Mountain States Health AllianceJohnson City, TN$8.14M
Mountain States Health AllianceElizabethton, TN$7.25M
Dickenson Community Hospital, INC.Clintwood, VA$6.94M
Wellmont Hawkins County Memorial Hospital INCRogersville, TN$5.11M
East Tennessee Healthcare Holdings INCGray, TN$3.30M
Mountain States Health AllianceMountain City, TN$3.03M
Wellmont Health SystemSneedville, TN$1.90M
Mountain States Health AllianceErwin, TN$1.48M
Wilson Pharmacy INCJohnson City, TN$1.26M
Mountain States Health AllianceNorton, VA$376K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.