Department of Disability and Aging Tennessee Early Intervention System (teis)
Case Management
Nashville, Tennessee
NPI: 1437526597
Risk Tier
High
Total Paid
$117.9M
$117,865,639
Total Claims
201K
Beneficiaries
201K
Avg Cost/Claim
$585.84
Statistical Fraud Flags (2)
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).
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 1 procedure codes — billing is highly concentrated in very few services.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024