State of Tennessee
State of Tennessee was paid $170K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 27% of everything it billed.
SPARTA, TN 38583
Next to other Public Health or Welfare Agency providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,491 | $41K | |
| 2019 | 3,139 | $52K | |
| 2020 | 645 | $16K | |
| 2021 | 909 | $22K | |
| 2022 | 838 | $15K | |
| 2023 | 705 | $14K | |
| 2024incomplete | 531 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 27% | 1,459 | 1,371 | $46K |
| 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 | 18% | 854 | 655 | $30K |
| 99401 | 11% | 752 | 606 | $19K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 218 | 205 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 474 | 413 | $13K |
| D1206 | Topical application of fluoride varnish | 7.0% | 693 | 689 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.5% | 909 | 824 | $8K |
| D0190 | 4.0% | 690 | 685 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 107 | 106 | $7K |
| 0001A | 1.9% | 101 | 79 | $3K | |
| 90688 | <1% | 700 | 663 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | 16 | $1K |
18 more codes
| 0002A | <1% | 35 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 748 | $1K |
| 96127 | <1% | 271 | $1K | |
| 92551 | <1% | 107 | $782.36 | |
| 90651 | <1% | 38 | $725.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 122 | $724.46 |
| 99173 | <1% | 131 | $354.49 | |
| 90715 | <1% | 129 | $338.49 | |
| 81025 | <1% | 60 | $310.62 | |
| D0120 | Dental checkup, returning patient | <1% | 12 | $292.80 |
| 90686 | <1% | 69 | $210.00 | |
| 90716 | <1% | 20 | $115.17 | |
| 90461 | <1% | 405 | $90.08 | |
| 36416 | <1% | 61 | $71.81 | |
| 90707 | <1% | 20 | $64.03 | |
| 90734 | 0% | 24 | $0.00 | |
| 91300 | 0% | 18 | $0.00 | |
| 90633 | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Crossville, TN | $588K |
| State of Tennessee | Cookeville, TN | $546K |
| State of Tennessee | Mc Minnville, TN | $293K |
| State of Tennessee | Jamestown, TN | $135K |
| State of Tennessee | Smithville, TN | $109K |
| State of Tennessee | Livingston, TN | $106K |
| State of Tennessee | Gainesboro, TN | $94K |
| State of Tennessee | Lafayette, TN | $68K |
| State of Tennessee | Celina, TN | $60K |
| State of Tennessee | Woodbury, TN | $38K |
| State of Tennessee | Carthage, TN | $34K |
| State of Tennessee | Byrdstown, TN | $25K |
| State of Tennessee | Spencer, TN | $10K |
| State of Tennessee | Cookeville, TN | $462.83 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.