Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

App Of Tennessee Ed, PLLC (NPI 1003230236)

Field	Value
Entity Type	Organization
Organization	App Of Tennessee Ed, PLLC
Address	907 E Lamar Alexander Pkwy
City	Maryville
State	TN
ZIP	37804
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 7, 2014

Payer Source	Total Paid
Medicaid	$30.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	207,320	$60	$12.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	223,390	$50	$11.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	158,240	$40	$5.5M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5,830	$60	$343.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	45,910	$1	$91.8K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	1,600	$1	$6.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	140	$20	$2.7K
99281	The provider sees a patient for the lowest level emergency department visit.	60	$10	$800
99053	The provider renders overnight services at a 24 hour facility.	1,220	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

App Of Tennessee Ed, PLLC — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	630	510	$120	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	2	610	570	$110	$884.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2	570	640	$100	$637.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	131	180	480	$90	$245.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	10	160	110	$90	$96K
99281	The provider sees a patient for the lowest level emergency department visit.	54	80	190	$70	$54K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	13	410	400	$1	$22.1K
99053	The provider renders overnight services at a 24 hour facility.	11	40	100	$1	$7.3K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	29	320	130	$1	$2.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with App Of Tennessee Ed, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swati Greenfield	TN	Emergency Medicine Physician	$57K	$41.4K
Jason Begue	TN	Emergency Medicine Physician	$60.8K	$0
Joel Hayes	TN	Physician Assistant	$11.3K	$0

Nearby Providers

Other providers in the same ZIP code as App Of Tennessee Ed, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health - Blount Memorial Hospital Inc.	TN	General Acute Care Hospital	$0	$14.8M
Speech Pathology Services Of East Tennessee LLC	TN	Rehabilitation Clinic/Center	$0	$9.3M
East Tennessee Oral & Maxillofacial Surgery, PC	TN	Oral and Maxillofacial Surgery (Dentist)	$0	$7.1M
East Tennessee Addiction Specialists	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.5M
Open Hearts Open Arms	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$4.8M
Foothills Pediatric Dentristry, P.C.	TN	Pediatric Dentistry	$0	$2.2M
Maryville Asc	TN	Ambulatory Surgical Clinic/Center	$350.4K	$141.2K
Molecular Pathology Laboratory Network Inc	TN	Clinical Medical Laboratory	$369.4K	$60.8K
Donna Brantley	TN	Family Nurse Practitioner	$263.1K	$0
Robert Ivy	TN	Orthopaedic Hand Surgery Physician	$231.7K	$0

App Of Tennessee Ed, PLLC — Billing Profile & Reimbursement Data

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App Of Tennessee Ed, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References