Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

East Tennessee Children's Hospital Association INC.

East Tennessee Children's Hospital Association INC. was paid $724K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 55% of everything it billed.

33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
KNOXVILLE, TN 37916
33aNPI1770722688assigned 02/17/2009
33bProvider typePediatrics Physician
28Total paid$724K
24GClaims10,232
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#86 of 333
Median peer was paid$139K
This provider vs. median5.2×

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

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20181,064$59K
20191,586$103K
20201,102$76K
20211,499$83K
20221,518$111K
20232,047$167K
2024incomplete1,416$125K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 55% 3,540 2,847 $396K
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 31% 2,875 2,464 $227K
99244 Office or other outpatient consultation, moderate to high complexity 7.3% 375 315 $52K
99205 Prolong outpt/office vis 3.3% 152 130 $24K
93784 1.1% 114 90 $8K
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 <1% 61 56 $6K
81003 <1% 3,082 2,443 $6K
99245 <1% 17 17 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 16 13 $699.24

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 officialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent organizationEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Same official

Other billing entities under ROSENDAHL, ANDREW

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