Agency
State of Tennessee
State of Tennessee was paid $230K by Medicaid between Jan 2018 and Aug 2024, across 38 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 28% of everything it billed.
33Billing provider infoSTATE OF TENNESSEE
ERWIN, TN 37650
ERWIN, TN 37650
33aNPI1750427175assigned 01/30/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$230K
24GClaims12,548
24DCodes billed38
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#33 of 109
Median peer was paid$121K
This provider vs. median1.9×
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 | 3,034 | $55K | |
| 2019 | 5,393 | $96K | |
| 2020 | 1,277 | $27K | |
| 2021 | 698 | $14K | |
| 2022 | 970 | $18K | |
| 2023 | 789 | $13K | |
| 2024incomplete | 387 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 28% | 1,958 | 1,818 | $64K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 556 | 513 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 502 | 438 | $33K |
| D1206 | Topical application of fluoride varnish | 14% | 1,908 | 1,869 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.1% | 1,349 | 1,205 | $14K |
| D0190 | 5.4% | 1,236 | 1,229 | $12K | |
| 99401 | 3.5% | 310 | 259 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 350 | 321 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 180 | 157 | $5K |
| D1351 | Sealant - per tooth | 1.3% | 503 | 79 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 38 | 26 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 140 | 119 | $2K |
26 more codes
| D1110 | Prophylaxis - adult | <1% | 42 | $2K |
| 0001A | <1% | 57 | $2K | |
| 85018 | <1% | 624 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 22 | $1K |
| 36416 | <1% | 639 | $1K | |
| 99381 | <1% | 18 | $1K | |
| 0002A | <1% | 33 | $1K | |
| 83655 | <1% | 92 | $964.12 | |
| 92551 | <1% | 75 | $532.52 | |
| 90686 | <1% | 642 | $475.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $391.26 |
| 90651 | <1% | 30 | $369.70 | |
| 90715 | <1% | 131 | $364.98 | |
| D0120 | Dental checkup, returning patient | <1% | 13 | $317.20 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $292.80 |
| 81025 | <1% | 56 | $224.03 | |
| 96127 | <1% | 46 | $169.25 | |
| 90670 | <1% | 29 | $160.66 | |
| 99173 | <1% | 51 | $131.58 | |
| 90734 | <1% | 45 | $107.91 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $69.76 |
| D1330 | 0% | 111 | $0.00 | |
| 90674 | 0% | 113 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90461 | 0% | 557 | $0.00 | |
| 90633 | 0% | 32 | $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 officialFITZPATRICK, KIMBERLI (ACCOUNTANT)
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Nashville, TN | $2.44M |
| State of Tennessee | Memphis, TN | $71K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.