STATE OF TENNESSEE
NPI: 1811034440
· EVENSVILLE, TN 37332
· Public Health or Welfare Agency
· NPI assigned 01/31/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCCARTHY, RICHARD controls 12+ related entities in our dataset. Read more
$100K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MCCARTHY, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,989 |
$30K |
| 2019 |
1,931 |
$36K |
| 2020 |
418 |
$7K |
| 2021 |
416 |
$9K |
| 2022 |
348 |
$5K |
| 2023 |
573 |
$9K |
| 2024 |
173 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,606 |
1,442 |
$47K |
| D1206 |
Topical application of fluoride varnish |
847 |
843 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
130 |
$11K |
| D0190 |
|
847 |
843 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
579 |
507 |
$6K |
| 99401 |
|
169 |
142 |
$4K |
| 99381 |
|
27 |
27 |
$2K |
| 0001A |
|
42 |
39 |
$1K |
| 90651 |
|
16 |
14 |
$725.10 |
| 0002A |
|
20 |
16 |
$697.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
28 |
$552.42 |
| 90686 |
|
661 |
638 |
$480.00 |
| 96127 |
|
116 |
111 |
$469.04 |
| 90715 |
|
38 |
38 |
$263.27 |
| 81025 |
|
60 |
41 |
$216.15 |
| 92551 |
|
28 |
28 |
$207.06 |
| 99173 |
|
46 |
44 |
$150.11 |
| 36416 |
|
26 |
24 |
$72.84 |
| 85018 |
|
24 |
23 |
$69.68 |
| 90461 |
|
410 |
387 |
$22.52 |
| 90674 |
|
91 |
68 |
$0.00 |