Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

NPI: 1760476659 · KNOXVILLE, TN 37916 · Rehabilitation Clinic/Center · NPI assigned 09/07/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more

$88.61M
Total Medicaid Paid
1,158,010
Total Claims
1,047,575
Beneficiaries
219
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date09/07/2005

Related Entities

Other providers sharing the same authorized official: ROSENDAHL, ANDREW

ProviderCityStateTotal Paid
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $31.61M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $3.45M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $2.57M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. OAK RIDGE TN $2.38M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.83M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEVIERVILLE TN $1.65M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.58M
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $1.42M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $1.03M
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $990K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $883K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $756K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $724K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. LA FOLLETTE TN $694K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. CLINTON TN $671K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE TN $654K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. ALCOA TN $547K
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEYMOUR TN $522K
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $352K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 155,288 $11.15M
2019 155,119 $11.70M
2020 107,608 $8.51M
2021 165,522 $13.15M
2022 183,592 $13.60M
2023 200,719 $15.38M
2024 190,162 $15.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 129,862 125,040 $27.22M
99284 Emergency department visit for the evaluation and management, high severity 48,668 46,819 $13.30M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 8,798 7,996 $6.76M
99282 Emergency department visit for the evaluation and management, low to moderate severity 33,874 32,805 $5.08M
41899 Unlisted procedure, dentoalveolar structures 4,847 4,643 $3.43M
45380 Colonoscopy, flexible; with biopsy, single or multiple 4,866 4,475 $2.22M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,447 1,373 $2.04M
G0378 Hospital observation service, per hour 3,327 2,977 $2.00M
95782 2,596 2,290 $1.99M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 36,466 34,601 $1.65M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 11,905 9,162 $1.63M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,291 7,181 $1.55M
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 20,305 19,445 $1.48M
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,019 970 $1.20M
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,523 3,153 $1.09M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,745 2,652 $1.05M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,115 3,973 $927K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13,197 12,905 $923K
G0175 Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present 4,714 4,529 $834K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16,594 16,282 $804K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9,544 9,071 $602K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,362 2,906 $579K
93325 12,599 9,659 $533K
70551 Magnetic resonance imaging, brain; without contrast material 1,821 1,787 $518K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,377 6,220 $515K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,693 17,627 $487K
93320 11,917 9,167 $412K
71046 Radiologic examination, chest; 2 views 32,906 31,746 $375K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,545 1,641 $371K
36415 Collection of venous blood by venipuncture 120,930 98,733 $355K
95819 2,885 2,676 $326K
81001 37,193 35,233 $321K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,263 1,222 $312K
94060 7,745 6,597 $312K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 52,390 45,745 $281K
99215 Prolong outpt/office vis 4,462 4,092 $273K
A0225 Ambulance service, neonatal transport, base rate, emergency transport, one way 807 717 $257K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 9,317 8,938 $245K
74019 23,141 22,150 $232K
87400 34,776 33,496 $207K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,710 7,260 $205K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 39,470 32,935 $191K
94010 7,720 6,500 $176K
72146 530 521 $165K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 519 511 $161K
72141 543 537 $156K
80053 Comprehensive metabolic panel 22,481 20,864 $148K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 23,130 22,212 $145K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 21,118 20,343 $120K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 309 275 $120K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,226 4,078 $107K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,948 5,711 $105K
76770 1,464 1,378 $103K
95957 1,501 1,442 $90K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,126 1,975 $89K
87807 10,491 10,179 $88K
87581 4,126 3,981 $87K
87486 4,116 3,973 $87K
94760 19,678 18,952 $83K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,133 3,008 $82K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,855 1,701 $70K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 9,632 8,093 $64K
84443 Thyroid stimulating hormone (TSH) 6,103 5,926 $61K
99244 Office or other outpatient consultation, moderate to high complexity 435 376 $60K
93000 3,382 3,243 $52K
97161 494 488 $49K
97803 1,786 1,628 $48K
99205 Prolong outpt/office vis 654 626 $47K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,183 1,068 $47K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,235 637 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,267 4,533 $47K
80048 Basic metabolic panel (calcium, ionized) 8,195 7,800 $44K
70450 Computed tomography, head or brain; without contrast material 546 514 $43K
86140 13,666 12,980 $41K
83036 Hemoglobin; glycosylated (A1C) 6,712 6,527 $39K
87088 8,805 8,355 $39K
74018 1,860 1,629 $35K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 82 81 $30K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,759 3,395 $29K
84439 5,012 4,870 $26K
82570 4,991 4,307 $26K
94664 2,322 2,255 $23K
85045 1,311 1,136 $23K
80061 Lipid panel 2,597 2,512 $21K
78227 62 62 $21K
77072 753 734 $20K
L8699 Prosthetic implant, not otherwise specified 771 737 $18K
97802 554 534 $17K
82043 389 347 $17K
96156 224 216 $16K
81025 4,375 4,142 $15K
83525 703 675 $12K
87632 107 101 $12K
85730 2,196 2,133 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 666 642 $11K
96361 Intravenous infusion, hydration; each additional hour 438 392 $10K
83690 995 938 $10K
92526 174 89 $9K
94762 1,664 909 $9K
83655 671 657 $8K
85610 2,396 2,327 $7K
95812 58 50 $6K
99243 101 76 $6K
82340 1,572 1,455 $6K
82553 122 113 $6K
85652 1,254 1,187 $6K
95811 13 12 $6K
97165 60 58 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $5K
J2704 Injection, propofol, 10 mg 22,594 15,656 $5K
74240 90 89 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 293 279 $5K
86308 698 672 $5K
74177 Computed tomography, abdomen and pelvis; with contrast material 38 38 $4K
84156 2,891 2,365 $4K
87040 492 452 $4K
87070 788 735 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 143 130 $4K
82657 4,706 4,337 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 143 130 $4K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 62 62 $4K
82784 203 199 $4K
86003 201 198 $4K
82785 218 210 $3K
82272 786 768 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 64 62 $3K
95251 75 73 $3K
84100 337 316 $2K
83001 81 74 $2K
99239 Hospital discharge day management, more than 30 minutes 24 24 $2K
76857 56 51 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 203 163 $2K
54150 14 12 $2K
81003 1,551 1,148 $2K
84146 70 64 $2K
75809 65 57 $2K
85027 1,201 1,113 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 63 24 $2K
86258 115 112 $2K
86364 115 112 $2K
84550 264 246 $2K
82150 561 524 $2K
A0425 Ground mileage, per statute mile 16 12 $2K
83516 59 59 $2K
96040 43 40 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,378 9,366 $1K
82550 147 134 $1K
80069 171 151 $1K
87081 124 121 $1K
83002 37 37 $1K
96375 Therapeutic injection; each additional sequential IV push 35 24 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,196 6,609 $968.28
89220 111 109 $960.92
86769 26 24 $926.88
74455 13 13 $926.38
96167 14 13 $856.66
J2805 Injection, sincalide, 5 micrograms 30 30 $833.38
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 14 $813.08
83013 14 13 $741.04
J0696 Injection, ceftriaxone sodium, per 250 mg 57 54 $680.24
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 234 155 $657.73
93225 40 26 $628.62
83993 43 42 $611.08
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 113 65 $532.34
J3010 Injection, fentanyl citrate, 0.1 mg 13,032 10,280 $496.93
82247 70 63 $475.68
84484 66 66 $469.48
J1885 Injection, ketorolac tromethamine, per 15 mg 6,333 5,789 $468.17
82248 73 64 $433.18
83880 26 26 $431.55
71045 Radiologic examination, chest; single view 86 84 $430.58
82728 107 91 $402.72
88305 Level IV - Surgical pathology, gross and microscopic examination 957 873 $390.65
82803 12 12 $312.90
83630 28 28 $306.72
86256 30 28 $305.23
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 12,254 11,622 $305.12
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 13 $276.31
87186 29 25 $256.41
82962 58 48 $241.86
81015 205 199 $178.05
82977 152 144 $175.81
51600 13 13 $167.60
86255 17 15 $163.83
87045 12 12 $132.42
91035 14 12 $131.50
84030 151 132 $123.12
51701 601 578 $123.00
83550 41 39 $104.53
86038 60 59 $94.56
J0690 Injection, cefazolin sodium, 500 mg 1,224 829 $92.42
76000 679 618 $86.11
88342 463 415 $73.56
83735 24 24 $71.82
83615 14 13 $67.39
87427 12 12 $64.48
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 297 267 $62.82
83540 27 26 $61.53
87210 12 12 $61.50
96160 14 13 $47.74
87046 12 12 $35.43
86225 12 12 $26.85
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,384 2,203 $16.97
86060 13 13 $14.28
J2270 Injection, morphine sulfate, up to 10 mg 435 371 $11.93
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 15 13 $6.30
J3490 Unclassified drugs 229 203 $4.75
J3480 Injection, potassium chloride, per 2 meq 29 24 $1.99
J1170 Injection, hydromorphone, up to 4 mg 309 261 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 400 380 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 140 87 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 12 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 33 30 $0.00
99188 827 779 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 285 277 $0.00
A4362 Skin barrier; solid, 4 x 4 or equivalent; each 45 44 $0.00
J0290 Injection, ampicillin sodium, 500 mg 87 73 $0.00
84145 15 12 $0.00
J7030 Infusion, normal saline solution , 1000 cc 15 12 $0.00