Cherokee Health Systems
Cherokee Health Systems was paid $591K by Medicaid between Jan 2018 and Jan 2021, across 38 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 24% of everything it billed.
KNOXVILLE, TN 37919
Next to other Federally Qualified Health Center (FQHC) 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 | 5,292 | $139K | |
| 2019 | 10,451 | $243K | |
| 2020 | 9,274 | $195K | |
| 2021 | 734 | $13K |
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 | 24% | 3,358 | 2,702 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,372 | 1,974 | $129K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12% | 7,588 | 3,559 | $74K |
| 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 | 9.2% | 636 | 509 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 557 | 468 | $47K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 596 | 488 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 313 | 232 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 536 | 410 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 180 | 132 | $17K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 151 | 119 | $8K |
| 3078F | 1.3% | 1,519 | 1,239 | $8K | |
| 3074F | 1.3% | 1,553 | 1,266 | $8K |
26 more codes
| 3008F | <1% | 472 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 78 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $1K |
| 99381 | <1% | 13 | $1K | |
| 85018 | <1% | 437 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 458 | $669.60 |
| 92552 | <1% | 26 | $648.75 | |
| 99174 | <1% | 160 | $532.40 | |
| 92551 | <1% | 35 | $282.80 | |
| 82465 | <1% | 13 | $58.56 | |
| 99173 | <1% | 12 | $30.00 | |
| 90686 | <1% | 1,425 | $17.13 | |
| 4037F | 0% | 1,536 | $0.00 | |
| 90723 | 0% | 110 | $0.00 | |
| 90688 | 0% | 91 | $0.00 | |
| 90647 | 0% | 111 | $0.00 | |
| 90651 | 0% | 55 | $0.00 | |
| 36416 | 0% | 148 | $0.00 | |
| 92558 | 0% | 12 | $0.00 | |
| 90680 | 0% | 41 | $0.00 | |
| 90716 | 0% | 19 | $0.00 | |
| 90461 | 0% | 812 | $0.00 | |
| 90670 | 0% | 257 | $0.00 | |
| 90633 | 0% | 19 | $0.00 | |
| 90707 | 0% | 19 | $0.00 | |
| 90687 | 0% | 15 | $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 |
|---|---|---|
| Cherokee Health Systems | Talbott, TN | $97.62M |
| Cherokee Health Systems | Knoxville, TN | $4.66M |
| Cherokee Health Systems | Alcoa, TN | $375K |
| Cherokee Health Systems | Morristown, TN | $264K |
| Cherokee Health Systems | Knoxville, TN | $238K |
| Cherokee Health Systems | Chattanooga, TN | $196K |
| Cherokee Health Systems | Seymour, TN | $196K |
| Cherokee Health Systems | New Tazewell, TN | $185K |
| Cherokee Health Systems | Blaine, TN | $166K |
| Cherokee Health Systems | Lenoir City, TN | $140K |
| Cherokee Health Systems | Maynardville, TN | $133K |
| Cherokee Health Systems | Clinton, TN | $128K |
| Cherokee Health Systems | Knoxville, TN | $123K |
| Cherokee Health Systems | Englewood, TN | $62K |
| Cherokee Health Systems | Newport, TN | $38K |
| Cherokee Health Systems | Washburn, TN | $25K |
| Cherokee Health Systems | Knoxville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.