Agency
State of Tennessee
State of Tennessee was paid $18K by Medicaid between Mar 2018 and Oct 2024, across 12 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 26% of everything it billed.
33Billing provider infoSTATE OF TENNESSEE
TIPTONVILLE, TN 38079
TIPTONVILLE, TN 38079
33aNPI1871643031assigned 01/11/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$18K
24GClaims1,080
24DCodes billed12
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#96 of 109
Median peer was paid$121K
This provider vs. median0.1×
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 | 49 | $560.40 | |
| 2019 | 54 | $715.00 | |
| 2020 | 14 | $224.67 | |
| 2021 | 263 | $5K | |
| 2022 | 118 | $2K | |
| 2023 | 158 | $2K | |
| 2024incomplete | 424 | $6K |
Box 24 · Service lines
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 | 26% | 155 | 149 | $5K |
| D1206 | Topical application of fluoride varnish | 21% | 217 | 216 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 17% | 203 | 173 | $3K |
| D0190 | 12% | 217 | 216 | $2K | |
| 99401 | 12% | 76 | 62 | $2K | |
| 0001A | 6.0% | 34 | 25 | $1K | |
| 0002A | 3.5% | 20 | 15 | $617.76 | |
| 0011A | 2.1% | 12 | 12 | $360.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | 13 | $80.40 |
| 90686 | <1% | 69 | 68 | $75.00 | |
| 90656 | 0% | 17 | 17 | $0.00 | |
| 90461 | 0% | 47 | 45 | $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 officialHARDEN, ANTHONY (REGIONAL DIRECTOR)