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.

Parkridge Medical Center, Inc. (NPI 1104874684)

Key Findings

Field	Value
Entity Type	Organization
Organization	Parkridge Medical Center, Inc.
Address	2333 Mccallie Ave
City	Chattanooga
State	TN
ZIP	37404
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

This provider reports no Medicare billing on file and is effectively a Medicaid-focused operation, with total Medicaid revenue of $26.8M. The absence of Medicare activity means analyses of Medicare-facing service lines or national Medicare competitive positioning are not applicable for this facility.

Revenue is highly concentrated in a small set of emergency department E/M codes: 99283 accounts for $15.6M (58.3% of Medicaid revenue) and 99284 accounts for $8.3M (31.0% of Medicaid revenue); together with 96374 ($659.9K, 2.5%), the top three codes represent 91.7% of this provider's total Medicaid revenue. This concentration indicates the facility’s Medicaid revenue is overwhelmingly driven by ED evaluation-and-management services and a small volume of IV medication administration.

The code mix (dominant 99283 and 99284 volumes) points to an ED-centric operational profile: large volumes of low- and moderate-complexity E/M visits suggest the hospital functions as a high-volume emergency care provider for Medicaid patients rather than deriving Medicaid revenue from elective inpatient or specialty procedures.

Competitive standing within Tennessee is strong for the provider on its top ED code: 99283 ranks #15 of 611 providers in-state (98th percentile), described as notably above typical state volume for this code. 99284 also ranks highly at #33 of 625 providers (95th percentile) though the supplied characterization labels its volume as typical; together these positions indicate the provider is a major regional ED participant for Medicaid.

Administration-of-drug activity (96374) contributes a small absolute share but is relatively prominent versus peers: 96374 produced $659.9K (2.5% of Medicaid revenue) and ranks #9 of 121 providers in-state (93rd percentile), described as notably above typical state volume. That elevated rank for an infusion/IV-push code suggests frequent use of rapid IV medication administration in the ED or hospital setting for Medicaid patients.

Secondary procedural activity exists but is modest compared with ED revenue: endoscopy codes such as 43239 ($569.7K, 2.1% of Medicaid revenue) and 45380 ($412.2K, 1.5% of Medicaid revenue) appear in the top codes but contribute only single-digit percentage shares. These volumes indicate some inpatient/outpatient procedural capacity (notably GI services) but not as a primary Medicaid revenue driver.

Operational risk and business implications follow from payer concentration: with no Medicare billing on file and $26.8M coming from Medicaid, the provider’s financial performance is tightly linked to Medicaid policy, rates, and utilization patterns. Any changes in Medicaid reimbursement or eligibility in the region could materially affect the facility given the 91.7% revenue concentration in its top three Medicaid codes.

Tenure and continuity: the provider’s NPI was enumerated on 2006-05-05 (~20 years ago), indicating long-standing presence in the market. That tenure combined with top-percentile ranks on key ED codes supports that the facility is an established regional provider of emergency services to the Medicaid population.

Medicaid: Complete Services Breakdown

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

80 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.	77,370	$200	$15.6M
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.	39,520	$210	$8.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	22,000	$30	$659.9K
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.	1,610	$350	$569.7K
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.	4,310	$120	$499.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	910	$450	$412.2K
G0378	Hospital observation service, per hour	580	$370	$213.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	11,780	$10	$165K
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.	770	$210	$157.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	2,970	$20	$44.5K

Showing 1–10 of 80

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

Parkridge Medical Center, Inc. — 2 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

80 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.	33	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.	15	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.	250	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…	47	100	400	$60	$524.7K
G0378	Hospital observation service, per hour	43	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.	94	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.	37	180	480	$90	$245.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9	120	3,760	$30	$225K
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.	33	170	340	$190	$206.8K
G0480	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…	81	90	400	$30	$189K

Showing 1–10 of 80

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Hamilton	TN	Land Ambulance	$3.2M	$10.4M
Orange Grove Center, Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$7.8M
Memorial Health Care System Inc.	TN	General Acute Care Hospital	$0	$4.1M
Mark Womack	TN	Hematology & Oncology Physician	$2.4M	$0
Bertrand Anz	TN	Hematology & Oncology Physician	$2.4M	$0
Erlanger Behavioral Health, LLC	TN	Psychiatric Hospital	$0	$2.2M
Derek Holland	TN	Hematology & Oncology Physician	$2M	$0
Gregory Sutton	TN	Hematology & Oncology Physician	$1.6M	$0
Edward Arrowsmith	TN	Hematology & Oncology Physician	$1.4M	$0
Benjamin Nadeau	TN	Hematology & Oncology Physician	$1.3M	$0

Parkridge Medical Center, Inc. — Billing Profile & Reimbursement Data

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Parkridge Medical Center, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkridge Medical Center, Inc.	TN	Psychiatric Hospital Unit	$0	$52.8M
Parkridge Medical Center, Inc.	TN	General Acute Care Hospital	$0	$12.8M