Applegate Health Services of Tennessee, INC
Applegate Health Services of Tennessee, INC was paid $119K by Medicaid between Mar 2020 and Nov 2024, across 12 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 54% of everything it billed.
NASHVILLE, TN 37211
Next to other Substance Use Disorder Rehabilitation Clinic/Center 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 | |
|---|---|---|---|
| 2020 | 459 | $2K | |
| 2021 | 1,176 | $16K | |
| 2022 | 421 | $47K | |
| 2023 | 2,641 | $27K | |
| 2024incomplete | 1,430 | $27K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 54% | 437 | 413 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 2,140 | 1,595 | $35K |
| 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 | 8.4% | 495 | 335 | $10K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.7% | 759 | 506 | $6K |
| 80305 | 2.7% | 1,814 | 1,299 | $3K | |
| 81025 | <1% | 71 | 61 | $227.58 | |
| 99408 | <1% | 46 | 43 | $134.02 | |
| 96127 | <1% | 163 | 145 | $115.42 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 22 | 20 | $72.00 |
| 96160 | <1% | 42 | 42 | $2.73 | |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 0% | 109 | 100 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 29 | 26 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.