Medicare provider payments and utilization data for Tennessee (TN)
Tennessee received $20.4B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Nurse Practitioner, accounting for $197.1M in payments across 6.7K providers.
In 2023, 27.5K providers were actively billing Medicare in Tennessee.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.9B | 62.8M | 21.7K | — |
| 2015 | $2.0B | 70.0M | 22.4K | +4.2% |
| 2016 | $2.0B | 69.3M | 23.2K | +0.5% |
| 2017 | $2.1B | 70.6M | 23.9K | +4.0% |
| 2018 | $2.1B | 69.6M | 24.4K | +0.4% |
| 2019 | $2.2B | 76.2M | 25.1K | +3.4% |
| 2020 | $2.0B | 68.5M | 25.2K | -8.0% |
| 2021 | $2.1B | 69.3M | 26.2K | +7.8% |
| 2022 | $2.0B | 67.0M | 26.9K | -4.6% |
| 2023 | $2.0B | 64.4M | 27.5K | -0.7% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $188.3M | 2.5M | 11.4K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $87.8M | 1.7M | 11.0K |
| J0178 | Injection, aflibercept, 1 mg | $57.7M | 84.4K | 75 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $45.5M | 793.8K | 4.0K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $40.7M | 341.4K | 454 |
| J9271 | Injection, pembrolizumab, 1 mg | $38.0M | 882.9K | 49 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $37.2M | 100.2K | 98 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $34.5M | 396.5K | 2.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $29.7M | 264.7K | 2.7K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $29.6M | 1.0M | 50 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $28.8M | 280.7K | 5.5K |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $25.0M | 201.3K | 3.1K |
| A0425 | Ground mileage, per statute mile | $23.8M | 3.2M | 115 |
| 99285 | Emergency department visit with high level of medical decision making | $23.7M | 183.0K | 1.3K |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | $22.9M | 659.2K | 415 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $22.9M | 1.4M | 1.8K |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $22.5M | 202.1K | 2.7K |
| J0897 | Injection, denosumab, 1 mg | $20.6M | 1.1M | 243 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $19.6M | 291.8K | 658 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $19.2M | 99.4K | 77 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Nurse Practitioner | $197.1M | 6.7K | $29.6K |
| Ophthalmology | $180.8M | 319 | $566.6K |
| Internal Medicine | $141.2M | 1.9K | $76.2K |
| Ambulatory Surgical Center | $119.5M | 129 | $926.4K |
| Ambulance Service Provider | $112.4M | 146 | $769.9K |
| Family Practice | $97.0M | 1.5K | $63.5K |
| Hematology-Oncology | $90.4M | 204 | $443.3K |
| Clinical Laboratory | $76.5M | 56 | $1.4M |
| Diagnostic Radiology | $73.6M | 672 | $109.6K |
| Physical Therapist in Private Practice | $61.1M | 1.6K | $38.9K |
| Cardiology | $54.2M | 374 | $145.0K |
| Orthopedic Surgery | $51.1M | 476 | $107.3K |
| Physician Assistant | $49.8M | 1.9K | $26.5K |
| Pathology | $45.5M | 318 | $143.0K |
| Dermatology | $42.9M | 198 | $216.7K |
| Rheumatology | $37.9M | 91 | $416.4K |
| Radiation Oncology | $35.7M | 100 | $356.6K |
| Medical Oncology | $32.1M | 53 | $606.4K |
| Emergency Medicine | $31.8M | 815 | $39.0K |
| Urology | $29.2M | 199 | $146.6K |
| Nephrology | $25.5M | 164 | $155.7K |
| Gastroenterology | $25.0M | 266 | $94.1K |
| Neurology | $24.4M | 319 | $76.3K |
| Mass Immunizer Roster Biller | $23.9M | 684 | $34.9K |
| Optometry | $21.8M | 744 | $29.4K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.