Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hospital Medicine Services of TN, LLC

Hospital Medicine Services of TN, LLC was paid $1.34M by Medicaid between Apr 2023 and Dec 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.

33Billing provider infoHOSPITAL MEDICINE SERVICES OF TN, LLC
NASHVILLE, TN 37203
33aNPI1982301065assigned 02/09/2023
33bProvider typeHospitalist Physician
28Total paid$1.34M
24GClaims76,218
24DCodes billed12
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Hospitalist Physician providers in Tennessee

Rank by total paid#4 of 83
Median peer was paid$13K
This provider vs. median100×

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 DEROUEN, VYVYAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
202344,459$634K
2024incomplete31,759$711K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 46% 46,032 15,236 $614K
99223 Prolong inpt eval add15 m 18% 7,051 5,523 $236K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 16% 9,254 3,987 $214K
99239 Hospital discharge day management, more than 30 minutes 10% 7,707 5,424 $137K
99222 Initial hospital care, per day, moderate complexity 8.8% 4,134 2,862 $118K
99238 Hospital discharge day management, 30 minutes or less 1.8% 1,843 1,354 $24K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity <1% 12 12 $806.37
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 42 31 $513.08
99221 <1% 15 15 $213.81
99497 <1% 38 24 $166.60
99407 <1% 29 12 $146.09
99406 <1% 61 25 $103.80

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 officialDEROUEN, VYVYAN (PRESIDENT)
Same official

Other billing entities under DEROUEN, VYVYAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.