State of Tennessee
State of Tennessee was paid $10K by Medicaid between Sep 2018 and Oct 2023, across 11 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 68% of everything it billed.
SPENCER, TN 38585
Next to other Public Health or Welfare Agency 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 | 254 | $2K | |
| 2019 | 379 | $6K | |
| 2021 | 34 | $135.00 | |
| 2022 | 93 | $790.10 | |
| 2023 | 52 | $837.48 |
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 | 68% | 276 | 241 | $7K |
| 90688 | 8.3% | 253 | 195 | $840.00 | |
| D1206 | Topical application of fluoride varnish | 5.7% | 38 | 38 | $574.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 49 | 38 | $478.79 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 24 | 24 | $438.75 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 64 | 48 | $422.85 |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 13 | 13 | $341.30 |
| D0190 | 1.5% | 13 | 13 | $156.00 | |
| 90686 | <1% | 42 | 42 | $15.00 | |
| 90461 | 0% | 17 | 13 | $0.00 | |
| 90674 | 0% | 23 | 19 | $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 |
|---|---|---|
| State of Tennessee | Crossville, TN | $588K |
| State of Tennessee | Cookeville, TN | $546K |
| State of Tennessee | Mc Minnville, TN | $293K |
| State of Tennessee | Sparta, TN | $170K |
| State of Tennessee | Jamestown, TN | $135K |
| State of Tennessee | Smithville, TN | $109K |
| State of Tennessee | Livingston, TN | $106K |
| State of Tennessee | Gainesboro, TN | $94K |
| State of Tennessee | Lafayette, TN | $68K |
| State of Tennessee | Celina, TN | $60K |
| State of Tennessee | Woodbury, TN | $38K |
| State of Tennessee | Carthage, TN | $34K |
| State of Tennessee | Byrdstown, TN | $25K |
| State of Tennessee | Cookeville, TN | $462.83 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.