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.

Hca Health Services Of Tennessee, Inc. (NPI 1023055126)

Field	Value
Entity Type	Organization
Organization	Hca Health Services Of Tennessee, Inc.
Address	2300 Patterson St
City	Nashville
State	TN
ZIP	37203
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$45.9M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and is effectively single-payer in the available claims data, with Medicaid revenue totaling $45.9M; the dataset also shows the top 3 Medicaid codes account for 91.9% of this provider's total Medicaid revenue, indicating extreme revenue concentration on a small set of services.

The revenue-driving activity is concentrated in emergency department evaluation-and-management services: 99283 ($22.1M, 48.3% of Medicaid revenue), 99284 ($15.8M, 34.5%), and 99282 ($4.2M, 9.2%). These three ED E/M codes together compose the core of operations and suggest the hospital functions primarily as a high-throughput ED receiving mostly low-to-moderate acuity visits rather than revenue from diverse inpatient surgical lines.

The provider’s top-three concentration (91.9% of Medicaid revenue) creates operational and revenue risk tied to ED throughput and payer reimbursement for ED E/M codes; because nearly half of Medicaid dollars come from 99283 alone, changes in ED volumes or policy around ED E/M payment could materially affect overall revenue.

State competitive standing for the primary ED codes is strong: 99283 ranks #14 of 611 providers in-state (98th percentile; notably above typical state volume), 99284 ranks #19 of 625 (97th percentile; typical, unremarkable volume for this code), and 99282 ranks #4 of 184 (98th percentile; extreme outlier, far above typical state volume). Together these ranks indicate the hospital is a top-volume ED provider in Tennessee for lower-to-moderate acuity E/M visits, with at least one code showing extreme outlier behavior.

Beyond ED E/M, the provider reports high-volume IV push administrations with 96374 at 20.9K claims and $900.5K revenue (2.0% of Medicaid revenue), ranking #11 of 121 (92th percentile; notably above typical state volume), which aligns with frequent medication administration consistent with an active ED or observation unit. The presence of 43239 (1.1K claims, $674.3K revenue, 1.5% of Medicaid revenue) indicates some endoscopy/GI procedural capacity but represents a much smaller share of overall Medicaid revenue.

Higher-acuity ED activity appears limited relative to peers: 99285 accounts for $97.8K (0.2% of Medicaid revenue) across 300 claims and ranks #364 of 565 providers in-state (36th percentile; typical, unremarkable volume for this code). This disparity between very high volume in lower-acuity ED codes and low volume in the highest-acuity ED code suggests the facility’s case mix skews toward lower-to-moderate complexity presentations.

The provider also reports very large claim counts for low-reimbursement diagnostic and lab codes—examples include 80053 (38.4K claims, $38.4K revenue) and 93005 (17.3K claims, $17.3K revenue)—which is consistent with high ED throughput and point-of-care testing in an observation/ED setting where per-claim payment is small but frequency is high. These ancillary volumes support the picture of an ED-centric workflow rather than an outpatient specialty surgery focus.

The organization has long tenure in federal provider databases, with its NPI enumerated on 2006-05-31 (~20 years ago), signaling an established presence in the market; combined with its top-tier in-state ranks on primary ED codes, the provider is a well-established, high-volume ED facility within Tennessee’s Medicaid network.

Medicaid: Complete Services Breakdown

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	81,720	$270	$22.1M
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.	55,500	$290	$15.8M
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.	21,920	$190	$4.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,940	$40	$900.5K
G0378	Hospital observation service, per hour	970	$740	$720.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,100	$610	$674.3K
99281	The provider sees a patient for the lowest level emergency department visit.	3,350	$160	$548.7K
0241U	N/A	1,990	$70	$145K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	4,390	$30	$140.3K
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	20	$6,520	$123.9K

Showing 1–10 of 106

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

Hca Health Services Of Tennessee, Inc. — 4 of 25 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

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	55	60	1,340	$50	$1.1M
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.	19	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.	14	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.	364	570	640	$100	$637.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	68	100	400	$60	$524.7K
D2930	N/A	124	160	770	$110	$399.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	8	30	480	$20	$283.4K
G0378	Hospital observation service, per hour	35	100	410	$210	$264K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	121	240	840	$20	$259.2K
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.	4	180	480	$90	$245.5K

Showing 1–10 of 106

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Quest Diagnostics Incorporated	NJ	Clinical Medical Laboratory	$111.2M	$637.7M
Quest Diagnostics Clinical Laboratories Inc	TX	Clinical Medical Laboratory	$46.7M	$276.8M
Quest Diagnostics Clinical Laboratories Inc	GA	Clinical Medical Laboratory	$53.3M	$211.1M
Quest Diagnostics Clinical Laboratories Inc	FL	Clinical Medical Laboratory	$42.2M	$197.6M
Unilab Corporation	CA	Clinical Medical Laboratory	$47.1M	$141.3M
Quest Diagnostics Clinical Laboratories Inc	FL	Clinical Medical Laboratory	$107.1M	$50M
Quest Diagnostics Clinical Laboratories Inc	WA	Clinical Medical Laboratory	$10.6M	$109.2M
Quest Diagnostics Nichols Institute, Inc.	VA	Clinical Medical Laboratory	$2.3M	$46.9M
Quest Diagnostics Nichols Institute	CA	Clinical Medical Laboratory	$5.6M	$39.9M

Nearby Providers

Other providers in the same ZIP code as Hca Health Services Of Tennessee, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatrix Medical Group Of Tennessee, P.C.	TN	Neonatal-Perinatal Medicine Physician	$0	$32.3M
Saint Thomas Medical Partners	TN	Internal Medicine Physician	$0	$21.9M
Radiology Alliance PC	TN	Diagnostic Radiology Physician	$0	$13.2M
Emergency Medicine Services Of Tn, PC	TN	Emergency Medicine Physician	$0	$12.9M
Tennessee Maternal-fetal Medicine LLC	TN	Specialist	$0	$12.5M
The Next Door, Inc.	TN	Substance Abuse Rehabilitation Facility	$0	$8.6M
Tennessee Oncology PLLC	TN	Hematology & Oncology Physician	$0	$8.5M
Vcphcs Ix, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$257.7K	$6.6M
Tennessee Retina PC	TN	Retina Specialist (Ophthalmology) Physician	$0	$6M
Pediatric Associates Of Davidson County, P.C.	TN	Pediatrics Physician	$0	$5.8M

Hca Health Services Of Tennessee, Inc. — Billing Profile & Reimbursement Data

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Hca Health Services Of Tennessee, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References