Agency
State of Tennessee
State of Tennessee was paid $243K by Medicaid between Jan 2018 and Sep 2024, across 42 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 38% of everything it billed.
33Billing provider infoSTATE OF TENNESSEE
MOUNTAIN CITY, TN 37683
MOUNTAIN CITY, TN 37683
33aNPI1942355722assigned 01/24/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$243K
24GClaims13,140
24DCodes billed42
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#28 of 109
Median peer was paid$121K
This provider vs. median2.0×
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 | 3,829 | $65K | |
| 2019 | 5,248 | $101K | |
| 2020 | 1,142 | $21K | |
| 2021 | 714 | $15K | |
| 2022 | 1,130 | $21K | |
| 2023 | 833 | $14K | |
| 2024incomplete | 244 | $4K |
Box 24 · Service lines
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 | 38% | 3,075 | 2,864 | $93K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 804 | 802 | $26K |
| D1206 | Topical application of fluoride varnish | 9.8% | 1,333 | 1,322 | $24K |
| 99401 | 6.9% | 601 | 553 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 210 | 202 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 530 | 525 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 566 | 538 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 212 | 212 | $5K |
| D1110 | Prophylaxis - adult | 1.9% | 115 | 115 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 64 | 60 | $5K |
| D0330 | Panoramic radiographic image | 1.8% | 147 | 145 | $4K |
| D0272 | Bitewings - two radiographic images | 1.6% | 224 | 224 | $4K |
30 more codes
| 92551 | 1.6% | 540 | $4K | |
| 90651 | 1.2% | 242 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 119 | $3K |
| D0190 | <1% | 211 | $2K | |
| 0001A | <1% | 64 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 121 | $2K |
| 96127 | <1% | 405 | $2K | |
| 81025 | <1% | 268 | $1K | |
| 99173 | <1% | 445 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 90686 | <1% | 1,361 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $845.02 |
| D0274 | Bitewings - four radiographic images | <1% | 34 | $820.12 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 27 | $658.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 65 | $430.31 |
| 99177 | <1% | 28 | $284.85 | |
| 90716 | <1% | 61 | $245.83 | |
| 85018 | <1% | 77 | $214.48 | |
| 36416 | <1% | 91 | $205.81 | |
| 83655 | <1% | 13 | $176.62 | |
| 90707 | <1% | 62 | $165.71 | |
| 90734 | <1% | 101 | $107.91 | |
| 90461 | <1% | 605 | $56.30 | |
| 90715 | <1% | 62 | $37.61 | |
| D1330 | 0% | 95 | $0.00 | |
| 90619 | 0% | 28 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 90674 | 0% | 66 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 90633 | 0% | 14 | $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 officialHURT, CAROLINE (COUNTY DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Elizabethton, TN | $501K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.