Department of Disability and Aging Tennessee Early Intervention System (teis)
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 697% from 2019 to 2020.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T2023 (1 unique codes).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
Single-Code
Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $117.9M is at the 50th percentile among 137 Case Management providers.
Total Paid
$117.9M
$117,865,639
Total Claims
201K
Beneficiaries
201K
1.0 claims/patient
Avg Cost/Claim
$586
🔍 Analysis
Provider Overview
Department of Disability and Aging Tennessee Early Intervention System (teis) is a Case Management provider based in Nashville, TN. From the 2018–2024 period, this provider received $117.9M in Medicaid payments across 201K claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $117.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 14,733 Medicaid beneficiaries for a full year at average per-enrollee costs.
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