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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Nes Tennessee Inc (NPI 1013519230)

Field	Value
Entity Type	Organization
Organization	Nes Tennessee Inc
Address	2016 S Alabama Ave
City	Monroeville
State	AL
ZIP	36460
Taxonomy	Emergency Medicine Physician
NPI Enumerated	November 12, 2020

Payer Source	Total Paid
Medicaid	$911.1K
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
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.	9,880	$60	$573.3K
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.	3,700	$80	$306.9K
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.	670	$40	$25.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$50	$2.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$110	$1.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	140	$10	$720
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$30	$570
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10	$30	$410
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.	10	$20	$270

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Nes Tennessee Inc — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama 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.	86	240	4,820	$60	$807.6K
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.	61	190	1,480	$100	$730.7K
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.	194	230	5,160	$40	$474.1K
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.	126	130	420	$40	$106K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	344	400	470	$30	$97.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	198	200	170	$50	$60.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	143	160	80	$80	$31.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	129	170	890	$10	$25.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	136	140	160	$20	$15.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nes Tennessee Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$2.3M
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$1.8M
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$1.4M
Michael Coulthard	GA	Family Medicine Physician	$83.1K	$0
Dennis Laird	CT	Emergency Medicine Physician	$68.3K	$0
Brian Guffin	AL	Specialist	$52.8K	$0
Urmil Patel	AL	Emergency Medicine Physician	$51.2K	$0
William Saliski	AL	Family Nurse Practitioner	$34K	$0

Nearby Providers

Other providers in the same ZIP code as Nes Tennessee Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Practice-monroeville Inc	AL	Clinic/Center	$0	$3.8M
Monroe County Health Care Authority	AL	Critical Access Hospital	$0	$1.8M
Monroe County Health Care Authority	AL	Rural Health Clinic/Center	$0	$1.7M
Bio-medical Applications Of Alabama, Inc.	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$926.5K
Pamala Gibbs	AL	Internal Medicine Physician	$143.3K	$0
Albert Boroughs	AL	Family Medicine Physician	$120.1K	$0
Irene Klopner	AL	Family Nurse Practitioner	$27.4K	$0
Michael Mcbeth	AL	Emergency Medicine Physician	$19.5K	$0

Nes Tennessee Inc — Billing Profile & Reimbursement Data

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Nes Tennessee Inc — 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