Hospital
Claiborne Medical Center
Claiborne Medical Center was paid $3.41M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99283, emergency room visit (moderate) — 51% of everything it billed.
33Billing provider infoCLAIBORNE MEDICAL CENTER
TAZEWELL, TN 37879
TAZEWELL, TN 37879
33aNPI1942205166assigned 06/15/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$3.41M
24GClaims104,421
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Tennessee
Rank by total paid#52 of 71
Median peer was paid$6.96M
This provider vs. median0.5×
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
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 | 14,620 | $368K | |
| 2019 | 14,213 | $395K | |
| 2020 | 12,858 | $393K | |
| 2021 | 19,353 | $617K | |
| 2022 | 18,011 | $705K | |
| 2023 | 16,197 | $565K | |
| 2024incomplete | 9,169 | $366K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 51% | 14,806 | 13,231 | $1.75M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 18% | 8,443 | 7,695 | $609K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 10% | 2,045 | 1,869 | $344K |
| G0378 | Hospital observation service, per hour | 6.0% | 743 | 588 | $204K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 4,526 | 3,991 | $95K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 20,605 | 16,392 | $69K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.6% | 1,186 | 1,080 | $53K |
| 71045 | Radiologic examination, chest; single view | 1.0% | 4,052 | 3,519 | $35K |
| 80053 | Comprehensive metabolic panel | <1% | 11,360 | 9,506 | $29K |
| 87276 | <1% | 4,396 | 4,083 | $28K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 370 | 325 | $22K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 523 | 467 | $22K |
40 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,041 | $22K |
| 87275 | <1% | 4,439 | $19K | |
| 99285 | Emergency room visit (most serious) | <1% | 139 | $18K |
| 84484 | <1% | 1,715 | $16K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 381 | $8K |
| 87081 | <1% | 1,496 | $7K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 296 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,239 | $6K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 90 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 221 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,908 | $5K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 97 | $4K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 4,528 | $4K |
| 83690 | <1% | 963 | $3K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 15 | $2K |
| 87040 | <1% | 269 | $2K | |
| 83605 | <1% | 396 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 63 | $2K |
| 83880 | <1% | 323 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 385 | $1K |
| 81001 | <1% | 2,439 | $1K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 63 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 229 | $1K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 103 | $971.82 |
| 81025 | <1% | 311 | $888.37 | |
| 87807 | <1% | 64 | $565.90 | |
| 71250 | <1% | 15 | $334.60 | |
| J1650 | Injection, enoxaparin sodium, 10 mg | <1% | 57 | $293.76 |
| 83735 | <1% | 128 | $291.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $230.82 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 73 | $141.96 |
| 81003 | <1% | 366 | $140.92 | |
| 84703 | <1% | 13 | $137.50 | |
| 85027 | <1% | 63 | $112.86 | |
| 86308 | <1% | 30 | $97.53 | |
| 82550 | <1% | 12 | $36.86 | |
| 85610 | 0% | 16 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 1,147 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 185 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 16 | $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 officialCARRINGER, RICK (VP REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Parkwest Medical Center | Knoxville, TN | $29.88M |
| Fort Sanders Regional Medical Center | Knoxville, TN | $26.76M |
| Leconte Medical Center | Sevierville, TN | $19.05M |
| Morristown Hamblen Hospital Association | Morristown, TN | $17.83M |
| Methodist Medical Center | Oak Ridge, TN | $11.32M |
| Roane County Medical Center | Harriman, TN | $9.24M |
| Cumberland Medical Center, INC. | Crossville, TN | $6.06M |
| Fort Loudoun Medical Center | Lenoir City, TN | $5.86M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.