Clinic
Vanderbilt Bedford Hospital, LLC
Vanderbilt Bedford Hospital, LLC was paid $926K by Medicaid between Jan 2021 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoVANDERBILT BEDFORD HOSPITAL, LLC
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1952900862assigned 10/21/2020
33bProvider typeRural Health Clinic/Center
28Total paid$926K
24GClaims34,705
24DCodes billed40
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#17 of 96
Median peer was paid$127K
This provider vs. median7.3×
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.
Entity ProliferationAuthorized official SIMMONS, ANGELA controls 12+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 18,604 | $398K | |
| 2022 | 11,078 | $304K | |
| 2023 | 3,637 | $146K | |
| 2024incomplete | 1,386 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 7,249 | 4,704 | $398K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,060 | 2,514 | $158K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 1,260 | 689 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 1,096 | 597 | $64K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 1,053 | 615 | $58K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 4,128 | 2,069 | $42K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 2,419 | 1,206 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 2,586 | 1,242 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 373 | 228 | $26K |
| 92587 | <1% | 893 | 348 | $8K | |
| 99173 | <1% | 1,709 | 826 | $6K | |
| 92551 | <1% | 770 | 397 | $5K |
28 more codes
| 96127 | <1% | 1,119 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 555 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 48 | $4K |
| 90686 | <1% | 1,487 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 103 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $2K |
| 90474 | <1% | 297 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 105 | $1K |
| 99381 | <1% | 24 | $1K | |
| 96161 | <1% | 225 | $572.24 | |
| 0072A | <1% | 22 | $564.80 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 46 | $513.64 |
| 90670 | 0% | 682 | $0.00 | |
| 90633 | 0% | 247 | $0.00 | |
| 90648 | 0% | 519 | $0.00 | |
| 3078F | 0% | 16 | $0.00 | |
| 90734 | 0% | 80 | $0.00 | |
| 90715 | 0% | 23 | $0.00 | |
| 90710 | 0% | 40 | $0.00 | |
| 90723 | 0% | 312 | $0.00 | |
| 90680 | 0% | 301 | $0.00 | |
| 90698 | 0% | 131 | $0.00 | |
| 3074F | 0% | 221 | $0.00 | |
| 90651 | 0% | 312 | $0.00 | |
| 3079F | 0% | 33 | $0.00 | |
| 90744 | 0% | 70 | $0.00 | |
| 90696 | 0% | 41 | $0.00 | |
| 90674 | 0% | 20 | $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 officialSIMMONS, ANGELA (VP - FINANCE)
| 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 Bedford Hospital, LLC | Shelbyville, TN | $2.02M |
| Vanderbilt University Medical Center | Nashville, TN | $1.01M |
| 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.