Saint Thomas Hickman Hospital
Saint Thomas Hickman Hospital was paid $924K by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
CENTERVILLE, TN 37033
Next to other Rural Health Clinic/Center 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 | 4,777 | $100K | |
| 2019 | 7,206 | $110K | |
| 2020 | 4,146 | $88K | |
| 2021 | 20,909 | $158K | |
| 2022 | 39,394 | $179K | |
| 2023 | 30,205 | $172K | |
| 2024incomplete | 15,277 | $118K |
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 | 59% | 17,191 | 12,273 | $545K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 7,836 | 6,064 | $189K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.5% | 817 | 587 | $32K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.4% | 1,318 | 838 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 1,467 | 1,180 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 2,320 | 1,942 | $17K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.8% | 1,257 | 1,006 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 659 | 552 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 1,584 | 947 | $12K |
| 99307 | <1% | 304 | 295 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 824 | 679 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,547 | 3,503 | $5K |
32 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 38 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 32 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 189 | $2K |
| 3078F | <1% | 8,046 | $1K | |
| 1160F | <1% | 13,158 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 78 | $1K |
| 0011A | <1% | 39 | $1K | |
| 3074F | <1% | 8,102 | $1K | |
| 1159F | <1% | 12,486 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 30 | $898.46 |
| 3079F | <1% | 3,707 | $882.59 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 322 | $882.45 |
| 0012A | <1% | 23 | $840.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $807.54 |
| 3075F | <1% | 2,314 | $522.75 | |
| 96127 | <1% | 658 | $361.18 | |
| 3077F | <1% | 510 | $110.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 325 | $66.65 |
| 3044F | <1% | 227 | $64.99 | |
| 3080F | <1% | 61 | $50.00 | |
| 81002 | <1% | 32 | $35.23 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 24 | $26.92 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 20 | $16.34 |
| 1125F | <1% | 383 | $2.29 | |
| 91301 | <1% | 103 | $0.17 | |
| 3008F | <1% | 12,124 | $0.10 | |
| 1126F | <1% | 3,883 | $0.08 | |
| 3725F | <1% | 4,795 | $0.08 | |
| 1034F | <1% | 2,813 | $0.05 | |
| 1036F | <1% | 7,221 | $0.03 | |
| 1035F | 0% | 22 | $0.00 | |
| 3017F | 0% | 12 | $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 |
|---|---|---|
| Saint Thomas River Park Hospital, LLC | Mcminnville, TN | $8.41M |
| Saint Thomas West Hospital | Nashville, TN | $7.14M |
| Meeting Milestones Early Intervention Services, LLC | Gaffney, SC | $6.63M |
| Saint Thomas West Hospital | Nashville, TN | $3.68M |
| Saint Thomas Highlands Hospital, LLC | Sparta, TN | $3.33M |
| Public Health Solutions | Brooklyn, NY | $2.10M |
| Nursing and Therapy Services of Colorado INC | Colorado Springs, CO | $1.05M |
| Saint Thomas Stones River Hospital, LLC | Woodbury, TN | $554K |
| Metro Anesthesia, PLLC | Ridgeland, MS | $261K |
| Talking Toddlers LLC | Simpsonville, SC | $16K |
| Royal Paradise Cente LLC | West Palm Beach, FL | $4K |
| Lisa A. Davis, M.D., P.A. | San Antonio, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.