Agency
Frontier Health
Frontier Health was paid $105.24M by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 40% of everything it billed.
33Billing provider infoFRONTIER HEALTH
GRAY, TN 37615
GRAY, TN 37615
33aNPI1720147408assigned 12/08/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$105.24M
24GClaims1,758,668
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Tennessee
Rank by total paid#3 of 47
Median peer was paid$129K
This provider vs. median818×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 193,150 | $11.77M | |
| 2019 | 225,729 | $11.52M | |
| 2020 | 229,163 | $13.12M | |
| 2021 | 266,743 | $15.97M | |
| 2022 | 301,493 | $18.32M | |
| 2023 | 343,977 | $20.86M | |
| 2024incomplete | 198,413 | $13.67M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 40% | 272,986 | 220,349 | $41.80M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 15% | 273,930 | 158,171 | $15.64M |
| H0043 | Supported housing, per diem | 14% | 208,850 | 5,107 | $14.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 127,728 | 97,411 | $5.13M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.7% | 41,209 | 25,940 | $2.89M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 70,571 | 44,629 | $2.72M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 2.5% | 33,364 | 3,344 | $2.63M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 31,504 | 22,656 | $2.56M |
| 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 | 2.4% | 53,964 | 40,537 | $2.53M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 22,712 | 13,640 | $2.04M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 1.9% | 23,989 | 3,262 | $1.97M |
| H0037 | Community psychiatric supportive treatment program, per diem | 1.8% | 23,011 | 4,153 | $1.92M |
44 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 19,964 | $1.81M |
| H2011 | Crisis intervention service, per 15 minutes | 1.4% | 1,938 | $1.45M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 1.3% | 5,094 | $1.37M |
| H0006 | Alcohol and/or drug services; case management | <1% | 4,697 | $985K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 2,554 | $715K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25,944 | $590K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 2,354 | $506K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 6,344 | $446K |
| H0046 | Mental health services, not otherwise specified | <1% | 4,417 | $377K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | <1% | 1,999 | $175K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22,413 | $166K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 5,533 | $128K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 772 | $52K |
| H2022 | Community-based wrap-around services, per diem | <1% | 258 | $43K |
| S9485 | Crisis intervention mental health services, per diem | <1% | 2,362 | $43K |
| T2022 | Case management, per month | <1% | 566 | $29K |
| H0033 | Oral medication administration, direct observation | <1% | 125 | $15K |
| T2023 | Targeted case management; per month | <1% | 87 | $14K |
| 80305 | <1% | 1,259 | $12K | |
| 3078F | <1% | 25,747 | $12K | |
| G0378 | Hospital observation service, per hour | <1% | 81 | $12K |
| 3074F | <1% | 28,767 | $8K | |
| 99443 | <1% | 362 | $7K | |
| 3077F | <1% | 2,996 | $4K | |
| 3008F | <1% | 32,411 | $3K | |
| 3079F | <1% | 7,123 | $3K | |
| 99442 | <1% | 310 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 43 | $2K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 135 | $2K |
| 3075F | <1% | 2,619 | $1K | |
| 3080F | <1% | 2,901 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 490 | $900.55 |
| H0032 | Mental health service plan development by non-physician | <1% | 16 | $536.15 |
| 90836 | <1% | 20 | $494.42 | |
| G9004 | Coordinated care fee, risk adjusted low, initial | <1% | 81,978 | $176.79 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 110,688 | $176.79 |
| G9006 | Coordinated care fee, home monitoring | <1% | 25,853 | $176.78 |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 3,404 | $0.01 |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 130,438 | $0.01 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 9,136 | $0.00 |
| H2014 | Skills training and development, per 15 minutes | 0% | 180 | $0.00 |
| S9484 | Crisis intervention mental health services, per hour | 0% | 282 | $0.00 |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 0% | 176 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 14 | $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 officialHAMMONDS, KRISTIE (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Frontier Health | Bristol, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.