Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

State of Tennessee

State of Tennessee was paid $180K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 23% of everything it billed.

33Billing provider infoSTATE OF TENNESSEE
CHURCH HILL, TN 37642
33aNPI1881749794assigned 01/24/2007
28Total paid$180K
24GClaims10,102
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Public Health or Welfare Agency providers in Tennessee

Rank by total paid#35 of 109
Median peer was paid$121K
This provider vs. median1.5×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,707$51K
20192,359$37K
2020748$16K
2021588$14K
20221,567$27K
20231,459$26K
2024incomplete674$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1206 Topical application of fluoride varnish 23% 2,288 2,263 $42K
99401 20% 1,336 1,181 $36K
90460 Immunization administration through 18 years of age via any route, first or only component 18% 1,207 1,180 $32K
D0190 8.3% 1,430 1,408 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.3% 181 175 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4.1% 691 653 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.3% 82 81 $6K
D1120 Dental cleaning, childProphylaxis - child 2.6% 151 151 $5K
D0150 Comprehensive oral evaluation - new or established patient 2.3% 162 159 $4K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 1.8% 129 129 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.5% 36 25 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.3% 149 138 $2K
25 more codes
D0272 Bitewings - two radiographic images 1.2% 128 $2K
81025 1.1% 402 $2K
0001A <1% 39 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 18 $1K
D1110 Prophylaxis - adult <1% 28 $1K
D0330 Panoramic radiographic image <1% 32 $984.54
D0274 Bitewings - four radiographic images <1% 43 $934.15
92551 <1% 122 $878.78
D0140 Limited oral evaluation - problem focused <1% 37 $873.40
0002A <1% 23 $766.64
90651 <1% 50 $554.55
90686 <1% 719 $480.00
D0145 Oral evaluation for a patient under three years of age <1% 15 $366.00
96127 <1% 79 $294.26
99173 <1% 44 $111.38
90734 <1% 26 $107.91
90461 <1% 142 $101.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 16 $81.66
90715 <1% 44 $75.22
36416 <1% 25 $54.94
85018 <1% 12 $30.55
36415 Collection of venous blood by venipuncture <1% 15 $24.31
D1330 0% 41 $0.00
90674 0% 147 $0.00
90619 0% 13 $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 officialVENABLE, SUSAN (COUNTY DIRECTOR 3)
Same official

Other billing entities under VENABLE, SUSAN

Full network →
ProviderLocationPaid
State of TennesseeRogersville, TN$167K
State of TennesseeSneedville, TN$161K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.