Vanderbilt Bedford Hospital, LLC
Vanderbilt Bedford Hospital, LLC was paid $2.02M by Medicaid between Jan 2021 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
SHELBYVILLE, TN 37160
Next to other Rural Health 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 | |
|---|---|---|---|
| 2021 | 20,038 | $550K | |
| 2022 | 18,312 | $624K | |
| 2023 | 13,733 | $472K | |
| 2024incomplete | 10,878 | $372K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 33,936 | 24,469 | $1.53M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.8% | 16,652 | 12,640 | $178K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 2,130 | 1,480 | $149K |
| 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 | 3.6% | 994 | 834 | $73K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 5,418 | 2,298 | $62K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 1,787 | 1,123 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | 28 | $1K |
| 81002 | <1% | 448 | 294 | $962.67 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 150 | 66 | $868.87 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,095 | 694 | $716.54 |
| 3074F | 0% | 187 | 161 | $0.00 | |
| 3078F | 0% | 123 | 111 | $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 |
|---|---|---|
| Vanderbilt University Medical Center | Nashville, TN | $137.59M |
| Vanderbilt University Medical Center | Nashville, TN | $29.07M |
| Vanderbilt Bedford Hospital, LLC | Shelbyville, TN | $4.41M |
| Vanderbilt Coffee Hospital, LLC | Tullahoma, TN | $4.09M |
| Vanderbilt University Medical Center | Nashville, TN | $1.01M |
| Vanderbilt Bedford Hospital, LLC | Shelbyville, TN | $926K |
| Vanderbilt University Medical Center | Nashville, TN | $270K |
| Vanderbilt Bedford Hospital, LLC | Wartrace, TN | $157K |
| Vanderbilt Bedford Hospital, LLC | Shelbyville, TN | $127K |
| Vanderbilt Bedford Hospital, LLC | Unionville, TN | $123K |
| Vanderbilt University Medical Center | Nashville, TN | $27K |
| Vanderbilt Bedford Hospital, LLC | Shelbyville, TN | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.