Tennessee Medicaid Spending
Tennessee's Medicaid program paid $8.63B across 21 providers from 2018–2024. 25 providers in Tennessee are flagged on our risk watchlist. The top procedure code is T2033 (Residential care, NOS; per diem) at $2.54B.
Total Spending
$8.63B
Total Claims
70.2M
Top Providers
21
Beneficiaries
32.9M
Flagged Providers
25
on risk watchlist
Avg Per Provider
$411.2M
across 21 providers
Yearly Spending Trend
Top Providers in Tennessee
Department of Intellectual and Developmental Disabilities, State of Tn
Public Health or Welfare · Nashville
$2.60B
16.3M claims
Department of Intellectual and Developmental Disabilities, State of Tn
Public Health or Welfare · Nashville
$1.45B
5.3M claims
Tennessee Department of Children's Services
Public Health or Welfare · Nashville
$781.0M
911K claims
Youth Villages Inc.
Community/Behavioral Health · Bartlett
$615.3M
791K claims
Mental Health Cooperative INC
Clinic/Center Mental Health (Including Community · Nashville
$363.8M
5.7M claims
Centerstone of Tennessee Inc.
Clinic/Center Mental Health (Including Community · Nashville
$363.8M
4.6M claims
Health Connect America INC
Community/Behavioral Health · Franklin
$285.5M
3.8M claims
Helen Ross Mcnabb Center
Clinic/Center Mental Health (Including Community · Knoxville
$198.8M
2.7M claims
Aegis Sciences Corporation
Clinical Medical Laboratory · Nashville
$193.8M
7.4M claims
Vanderbilt University Medical Center
Transplant Surgery · Nashville
$189.4M
3.4M claims
Fast Pace Medical Clinic PLLC
Family Medicine · Spring Hill
$179.4M
5.5M claims
Volunteer Behavioral Health Care System
Counselor · Murfreesboro
$168.3M
4.1M claims
Accredo Health Group INC
Pharmacy · Memphis
$165.6M
47K claims
Alliance Healthcare Services
Community/Behavioral Health · Memphis
$154.6M
1.6M claims
Department of Intellectual and Developmental Disabilities, State of Tn
Public Health or Welfare · Nashville
$147.4M
1.4M claims
Vanderbilt University Medical Center
Psychiatric Unit · Nashville
$137.6M
2.4M claims
Generations Health Association Inc.
Clinic/Center Mental Health (Including Community · Morrison
$136.7M
728K claims
Omni Visions Inc.
Foster Care Agency · Nashville
$133.3M
64K claims
Consumer Direct for Tennessee, LLC
Nursing Care · Nashville
$126.4M
1.1M claims
Keystone Continuum LLC
Psychiatric Residential Treatment Facility · Mountain City
$123.7M
15K claims
Emergency Coverage, LLC
Emergency Medicine · Newport
$121.6M
2.4M claims
Flagged Providers in Tennessee
Department of Intellectual and Developmental Disabilities, State of Tn
$1.45B
2 flags
Youth Villages Inc.
$615.3M
2 flags
Mental Health Cooperative INC
$363.8M
2 flags
Health Connect America INC
$285.5M
2 flags
Helen Ross Mcnabb Center
$198.8M
2 flags
Department of Disability and Aging Tennessee Early Intervention System (teis)
$117.9M
2 flags
Keystone Continuum LLC
$107.4M
2 flags
Omni Visions Inc.
$69.4M
2 flags
Department of Intellectual and Developmental Disabilities, State of Tn
$2.60B
1 flag
Tennessee Department of Children's Services
$781.0M
1 flag
Showing 10 of 25 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Tennessee
| Code | Total Paid |
|---|---|
| T2033 Residential care, NOS; per diem | $2.54B |
| T2023 Community transition, waiver; per service | $910.8M |
| S0280 Medical home program, comprehensive care management | $625.2M |
| T1019 Personal care services, per 15 min | $356.6M |
| T2016 Habilitation, residential, waiver; per diem | $353.9M |
| T2021 Day habilitation, waiver; per 15 min | $274.7M |
| H0043 Supported housing, per diem | $255.5M |
| H0037 Community psychiatric supportive treatment program, per diem | $255.3M |
| T2020 Day habilitation, waiver; per diem | $209.5M |
| T2025 Waiver services, NOS; per 15 min | $204.0M |
| T2048 Behavioral health; long-term residential, per diem | $190.0M |
| H0019 Behavioral health; residential, per diem | $153.8M |
| T2012 Habilitation, educational; per 15 min | $151.0M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $129.4M |
| H2025 Ongoing support to maintain employment, per 15 min | $122.6M |