Medicaid Provider Spending

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

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

NPI: 1790980977 · SEYMOUR, TN 37865 · Primary Care Clinic/Center · NPI assigned 06/18/2007

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

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

$522K
Total Medicaid Paid
12,148
Total Claims
10,151
Beneficiaries
25
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent OrganizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
NPI Enumeration Date06/18/2007

Related Entities

Other providers sharing the same authorized official: ROSENDAHL, ANDREW

ProviderCityStateTotal Paid
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. KNOXVILLE TN $88.61M
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 ASSOCIATION INC. KNOXVILLE TN $352K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 272 $10K
2019 400 $14K
2020 657 $31K
2021 2,143 $93K
2022 2,794 $123K
2023 2,912 $127K
2024 2,970 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,536 3,660 $332K
90460 Immunization administration through 18 years of age via any route, first or only component 1,091 980 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 287 246 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 195 183 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,493 1,182 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 332 305 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 335 299 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 87 79 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 79 65 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 378 333 $7K
92551 383 340 $5K
99177 884 787 $4K
96127 428 278 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 24 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 141 101 $460.17
3008F 883 784 $331.55
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 65 60 $140.76
90686 140 135 $110.92
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 13 $97.76
96161 14 12 $62.44
94760 14 12 $23.26
90670 32 27 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 65 60 $0.00
90661 12 12 $0.00
36416 231 174 $0.00