University Health System, INC
University Health System, INC was paid $145K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 46% of everything it billed.
KNOXVILLE, TN 37920
Next to other Gastroenterology 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 | 551 | $31K | |
| 2019 | 220 | $15K | |
| 2020 | 160 | $10K | |
| 2021 | 840 | $45K | |
| 2022 | 540 | $23K | |
| 2023 | 351 | $14K | |
| 2024incomplete | 134 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 46% | 740 | 626 | $67K |
| 99223 | Prolong inpt eval add15 m | 15% | 309 | 269 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 736 | 678 | $20K |
| 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 | 11% | 443 | 394 | $16K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.3% | 115 | 107 | $6K |
| 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 | 2.4% | 81 | 62 | $3K |
| 99221 | 1.9% | 86 | 80 | $3K | |
| 43235 | 1.5% | 44 | 37 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 63 | 41 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 73 | 48 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | 69 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 20 | 12 | $984.06 |
1 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $675.87 |
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 | $475K |
| 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 | 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.