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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEmory Valley Center
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    Emory Valley Center — Billing Profile & Reimbursement Data

    NPI 1073657136 · Oak Ridge, TN · Intellectual and/or Developmental Disabilities Residential Treatment Facility

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    Emory Valley Center is a intellectual and/or developmental disabilities residential treatment facility provider located in Oak Ridge, Tennessee. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEmory Valley Center
    Address723 Emory Valley Rd
    CityOak Ridge
    StateTN
    ZIP37830
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedFebruary 20, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2033Residential care, not otherwise specified (nos), waiver; per diem22,530$390$8.7M
    T2021Day habilitation, waiver; per 15 minutes14,400$90$1.3M
    T2016Habilitation, residential, waiver; per diem4,460$150$683K
    H2017Psychosocial rehabilitation services, per 15 minutes7,790$70$552.7K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…670$10$6K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…180$10$2.4K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…30$1$70
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems3,170$0$0
    S0215Non-emergency transportation; mileage, per mile1,140$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.

    Full comparison — all codes billed, vs. Tennessee median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2033Residential care, not otherwise specified (nos), waiver; per diem141004,520$320$31.6M
    T2016Habilitation, residential, waiver; per diem17502,620$430$11.9M
    T2021Day habilitation, waiver; per 15 minutes181003,920$80$3.4M
    H2017Psychosocial rehabilitation services, per 15 minutes142011,380$70$1.9M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…149360350$50$414.4K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…303440530$70$282.3K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…274300480$30$221.2K
    S0215Non-emergency transportation; mileage, per mile3980840$10$69.3K
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems20402,780$1$19.6K

    Nearby Providers

    Other providers in the same ZIP code as Emory Valley Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ridgeview Psychiatric Hospital And Center, Inc.TNPsychiatric Hospital$0$42M
    Southeastern Physician Services PCTNHospitalist Physician$0$14.7M
    Discover Diagnostic Laboratory, LLCTNClinical Medical Laboratory$363.5K$4.7M
    Children's ClinicTNPediatric Adolescent Medicine Physician$0$4.7M
    East Tennessee Ear, Nose & Throat Specialists, PCTNOtolaryngology Physician$0$2.6M
    East Tennessee Children's Primary Care Center, Inc.TNPediatrics Physician$0$2.4M
    The Eye Surgery Center Of Oak Ridge LLCTNClinic/Center$783K$3.3K
    Surgery Center Of Oak Ridge, LLCTNAmbulatory Surgical Clinic/Center$241K$493.4K
    Brian BurnettTNFamily Nurse Practitioner$661.1K$0
    Joseph EatherlyTNSpecialist$394.3K$3.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Tennessee Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Emory Valley Center — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee