Clinic
East Tennessee Children's Hospital Primary Care Center, INC.
East Tennessee Children's Hospital Primary Care Center, INC. was paid $522K by Medicaid between Feb 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
SEYMOUR, TN 37865
SEYMOUR, TN 37865
33aNPI1790980977assigned 06/18/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$522K
24GClaims12,148
24DCodes billed25
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#25 of 139
Median peer was paid$101K
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
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 | 272 | $10K | |
| 2019 | 400 | $14K | |
| 2020 | 657 | $31K | |
| 2021 | 2,143 | $93K | |
| 2022 | 2,794 | $123K | |
| 2023 | 2,912 | $127K | |
| 2024incomplete | 2,970 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 64% | 4,536 | 3,660 | $332K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 1,091 | 980 | $51K |
| 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 | 5.6% | 287 | 246 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 195 | 183 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 1,493 | 1,182 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.0% | 332 | 305 | $16K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.8% | 335 | 299 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 87 | 79 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 79 | 65 | $8K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.3% | 378 | 333 | $7K |
| 92551 | <1% | 383 | 340 | $5K | |
| 99177 | <1% | 884 | 787 | $4K |
13 more codes
| 96127 | <1% | 428 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 141 | $460.17 |
| 3008F | <1% | 883 | $331.55 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 65 | $140.76 |
| 90686 | <1% | 140 | $110.92 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $97.76 |
| 96161 | <1% | 14 | $62.44 | |
| 94760 | <1% | 14 | $23.26 | |
| 90670 | 0% | 32 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 65 | $0.00 |
| 90661 | 0% | 12 | $0.00 | |
| 36416 | 0% | 231 | $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 officialROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER)
Parent organizationEAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.