Agency
State of Tennessee
State of Tennessee was paid $501K by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99401, — 16% of everything it billed.
33Billing provider infoSTATE OF TENNESSEE
ELIZABETHTON, TN 37643
ELIZABETHTON, TN 37643
33aNPI1801941687assigned 01/24/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$501K
24GClaims25,127
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#14 of 109
Median peer was paid$121K
This provider vs. median4.2×
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.
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 | 5,988 | $120K | |
| 2019 | 5,592 | $109K | |
| 2020 | 2,229 | $44K | |
| 2021 | 1,874 | $44K | |
| 2022 | 3,945 | $79K | |
| 2023 | 3,325 | $68K | |
| 2024incomplete | 2,174 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99401 | 16% | 2,876 | 2,585 | $81K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 2,329 | 2,247 | $77K |
| D1206 | Topical application of fluoride varnish | 11% | 3,017 | 2,989 | $56K |
| 99381 | 7.0% | 443 | 432 | $35K | |
| D0330 | Panoramic radiographic image | 5.8% | 984 | 961 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 824 | 812 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 337 | 332 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 694 | 688 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.9% | 1,225 | 1,160 | $19K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 627 | 612 | $15K |
| D1110 | Prophylaxis - adult | 2.7% | 328 | 325 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 1,225 | 1,176 | $13K |
43 more codes
| D0190 | 2.5% | 1,167 | $13K | |
| D0274 | Bitewings - four radiographic images | 2.2% | 493 | $11K |
| 81025 | 2.0% | 1,835 | $10K | |
| D0120 | Dental checkup, returning patient | 1.9% | 384 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 111 | $8K |
| D0272 | Bitewings - two radiographic images | 1.2% | 391 | $6K |
| D1351 | Sealant - per tooth | <1% | 690 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 320 | $4K |
| 94250 | <1% | 184 | $3K | |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 157 | $3K |
| D2140 | <1% | 48 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 37 | $2K |
| 92551 | <1% | 302 | $2K | |
| 90651 | <1% | 118 | $2K | |
| 0001A | <1% | 53 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 54 | $1K |
| 0002A | <1% | 33 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 96127 | <1% | 265 | $1K | |
| 99173 | <1% | 327 | $917.10 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 28 | $884.58 |
| 36416 | <1% | 374 | $851.24 | |
| D1354 | <1% | 110 | $698.69 | |
| 85018 | <1% | 224 | $611.25 | |
| 99071 | <1% | 193 | $560.00 | |
| 90686 | <1% | 804 | $553.71 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 145 | $322.97 |
| 90715 | <1% | 98 | $296.11 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 23 | $226.75 |
| 90734 | <1% | 48 | $215.82 | |
| 83655 | <1% | 13 | $195.48 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | $139.66 |
| 90688 | <1% | 31 | $50.00 | |
| 99000 | 0% | 13 | $0.00 | |
| D1330 | 0% | 147 | $0.00 | |
| 90716 | 0% | 42 | $0.00 | |
| 90674 | 0% | 59 | $0.00 | |
| 90461 | 0% | 664 | $0.00 | |
| 90707 | 0% | 52 | $0.00 | |
| 90658 | 0% | 48 | $0.00 | |
| 90633 | 0% | 24 | $0.00 | |
| 90670 | 0% | 17 | $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 officialHURT, CAROLINE (COUNTY DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Mountain City, TN | $243K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.