Supplier
East Tennessee Children's Hospital Association, INC
East Tennessee Children's Hospital Association, INC was paid $20.29M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is B4161, Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 35% of everything it billed.
33Billing provider infoEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC
FARRAGUT, TN 37934
FARRAGUT, TN 37934
33aNPI1831499789assigned 10/26/2010
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$20.29M
24GClaims193,551
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee
Rank by total paid#4 of 296
Median peer was paid$15K
This provider vs. median1,315×
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 | 20,890 | $2.77M | |
| 2019 | 24,922 | $2.64M | |
| 2020 | 35,352 | $2.81M | |
| 2021 | 29,561 | $3.05M | |
| 2022 | 29,173 | $3.21M | |
| 2023 | 31,723 | $3.30M | |
| 2024incomplete | 21,930 | $2.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 35% | 18,835 | 11,898 | $7.03M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 26% | 27,758 | 22,017 | $5.20M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 8.4% | 2,389 | 2,118 | $1.71M |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.6% | 8,392 | 5,611 | $1.13M |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 4.5% | 4,933 | 2,799 | $903K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 4.4% | 13,618 | 12,273 | $891K |
| E0618 | Apnea monitor, without recording feature | 2.0% | 2,122 | 1,965 | $411K |
| B9002 | Enteral nutrition infusion pump, any type | 1.8% | 5,291 | 4,881 | $363K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 1.3% | 4,121 | 3,588 | $271K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.2% | 2,445 | 2,000 | $243K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1.0% | 13,770 | 12,391 | $212K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 477 | 296 | $156K |
50 more codes
| A7526 | Tracheostomy tube collar/holder, each | <1% | 3,487 | $152K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 5,959 | $152K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 2,206 | $146K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 2,117 | $138K |
| E0570 | Nebulizer, with compressor | <1% | 1,563 | $124K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 4,671 | $117K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 891 | $91K |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 822 | $85K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 2,310 | $70K |
| E1150 | Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests | <1% | 1,039 | $62K |
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 547 | $61K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 6,495 | $56K |
| E0619 | Apnea monitor, with recording feature | <1% | 257 | $52K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 1,202 | $45K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 1,671 | $42K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 617 | $38K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 6,592 | $33K |
| E0776 | Iv pole | <1% | 2,584 | $27K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 2,744 | $26K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 1,469 | $26K |
| A7002 | Tubing, used with suction pump, each | <1% | 6,005 | $25K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 943 | $24K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 1,568 | $24K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 1,141 | $22K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 2,237 | $21K |
| A4481 | Tracheostoma filter, any type, any size, each | <1% | 2,553 | $20K |
| A4217 | Sterile water/saline, 500 ml | <1% | 280 | $15K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 1,834 | $14K |
| S8189 | Tracheostomy supply, not otherwise classified | <1% | 1,110 | $10K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 3,164 | $9K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,339 | $9K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 1,085 | $6K |
| A7035 | Headgear used with positive airway pressure device | <1% | 412 | $5K |
| A4402 | Lubricant, per ounce | <1% | 2,342 | $5K |
| A4606 | Oxygen probe for use with oximeter device, replacement | <1% | 1,521 | $4K |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 4,917 | $3K |
| A4657 | Syringe, with or without needle, each | <1% | 1,859 | $2K |
| A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | <1% | 241 | $2K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 1,436 | $2K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 766 | $1K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 15 | $488.28 |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 731 | $356.59 |
| A7012 | Water collection device, used with large volume nebulizer | <1% | 138 | $353.43 |
| A4557 | Lead wires, (e.g., apnea monitor), per pair | <1% | 47 | $269.15 |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 15 | $157.16 |
| A4615 | Cannula, nasal | <1% | 409 | $23.77 |
| A4616 | Tubing (oxygen), per foot | <1% | 783 | $19.98 |
| E1353 | Regulator | <1% | 132 | $3.88 |
| A9270 | Non-covered item or service | 0% | 95 | $0.00 |
| 84035 | 0% | 39 | $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 officialARNOLD, DARLA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| East Tennessee Childrens Hospital Association INC | Knoxville, TN | $200K |
| East Tennessee Children's Hospital Association, INC. | Farragut, TN | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.