Tennessee's 12,480 Medicaid providers billed $20.40B between 2018 and 2024. The most-billed code is T2033, accounting for $3.04B in payments. Nashville is the largest Medicaid billing hub in the state. 24 providers in TN appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $3.04B |
| T2023 | Targeted case management; per month | $1.05B |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | $853.17M |
NASHVILLE ($8.05B) MEMPHIS ($2.16B) KNOXVILLE ($1.37B) BARTLETT ($718.31M) CHATTANOOGA ($549.74M) FRANKLIN ($435.93M) MURFREESBORO ($408.58M) JACKSON ($395.76M) JOHNSON CITY ($391.20M) BRENTWOOD ($254.18M) COOKEVILLE ($243.82M) CLARKSVILLE ($193.61M) SPRING HILL ($187.22M) KINGSPORT ($182.81M) SMYRNA ($166.64M) NEWPORT ($161.17M) CORDOVA ($145.87M) GERMANTOWN ($137.65M) MORRISON ($137.32M) MORRISTOWN ($134.45M) MOUNTAIN CITY ($131.16M) HERMITAGE ($129.35M) COLUMBIA ($126.93M) GRAY ($121.16M) CLEVELAND ($119.98M) GALLATIN ($119.39M) DICKSON ($110.14M) OAK RIDGE ($109.32M) TALBOTT ($99.24M) ATHENS ($98.18M) MANCHESTER ($96.86M) MARYVILLE ($95.59M) BRISTOL ($87.38M) DYERSBURG ($86.27M) GREENEVILLE ($86.02M) HENDERSONVILLE ($75.20M) ANTIOCH ($74.46M) PARIS ($74.35M) COVINGTON ($73.00M) GOODLETTSVILLE ($71.53M) ELIZABETHTON ($70.36M) WAYNESBORO ($69.15M) LEBANON ($65.35M) CROSSVILLE ($61.09M) SEVIERVILLE ($60.05M) JAMESTOWN ($59.57M) LAWRENCEBURG ($52.11M) HIXSON ($50.33M) TULLAHOMA ($48.24M) POWELL ($40.77M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | TENNESSEE DEPARTMENT OF CHILDREN'S SERVICES | $780.98M | single-code billing |
| 2 | DEPARTMENT OF DISABILITY AND AGING, TENNESSEE EARLY INTERVENTION SYSTE | $117.87M | single-code billing |
| 3 | THOMASON, FRED | $25.85M | single-code billing |
| 4 | MAXIM HEALTHCARE SERVICES, INC. | $22.19M | single-code billing |
| 5 | MAXIM HEALTHCARE SERVICES, INC. | $11.87M | single-code billing |
| 6 | 21ST CENTURY REHABILITATION SERVICES | $9.49M | single-code billing |
| 7 | MAXIM HEALTHCARE SERVICES, INC. | $7.08M | single-code billing |
| 8 | STANFORD HEIGHTS AND ASSOCIATES | $6.88M | single-code billing |
| 9 | TENNESSEE CHILDREN'S HOME | $6.45M | single-code billing |
| 10 | BUFFALO VALLEY, INC. | $6.18M | single-code billing |
| 11 | ORAL FACIAL SURGERY CENTER, LLC | $5.85M | single-code billing |
| 12 | OPEN HEARTS OPEN ARMS | $4.77M | single-code billing |
| 13 | MEMPHIS RECOVERY CENTERS, INC. | $4.57M | single-code billing |
| 14 | AMERICAN SENIOR CARE CENTERS, INC | $4.46M | single-code billing |
| 15 | ACRO PHARMACEUTICAL SERVICES LLC | $4.39M | single-code billing |
| 16 | GREEN CARE HOMES OF TENNESSEE, LLC | $4.31M | single-code billing |
| 17 | PROGRESS INC | $3.93M | single-code billing |
| 18 | NO PLACE LIKE HOME, INC. | $3.81M | single-code billing |
| 19 | CARIS HEALTHCARE | $3.81M | single-code billing |
| 20 | CRANIAL TECHNOLOGIES, INC. | $3.62M | single-code billing |
| 21 | WOODRIDGE OF TENNESSEE, LLC | $3.08M | single-code billing |
| 22 | CADES CENTER, INC | $2.96M | single-code billing |
| 23 | ADORATION HOSPICE, LLC | $2.74M | single-code billing |
| 24 | CONTEMPORARY CARE SOLUTIONS, LLC | $2.45M | single-code billing |
| 25 | AUTUMN CARE MANAGEMENT INC. | $2.13M | single-code billing |