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.

Tennessee Department Of Children's Services (NPI 1124494059)

Field	Value
Entity Type	Organization
Organization	Tennessee Department Of Children's Services
Address	436 6th Ave N
City	Nashville
State	TN
ZIP	37243
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	August 14, 2015

Payer Source	Total Paid
Medicaid	$780.6M
Medicare	$0

Key Findings

TENNESSEE DEPARTMENT OF CHILDREN'S SERVICES is registered as a Public Health or Welfare Agency in NASHVILLE, TN with an NPI enumerated on 2015-08-14 (~11 years ago), indicating roughly 11 years of enrollment in the national provider registry and sustained presence in Medicaid billing operations. This tenure is consistent with a state agency-level operator rather than a short-lived billing entity.

This provider has no Medicare billing on file (none below) and therefore operates effectively as a single-payer Medicaid participant; its entire reported lifetime federal billing footprint is concentrated in Medicaid. Total Medicaid revenue for the entity is $780.6M, underscoring that Medicaid is the exclusive payer relationship reflected in this profile.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and the single listed code T2023 (Targeted case management; per month) represents $780.6M of that total. This level of concentration signals that nearly all reported Medicaid receipts derive from recurring case-management activity rather than a diversified array of clinical services.

The billing mix (T2023 — Targeted case management; per month) indicates the operation is focused on ongoing, monthly case-management services rather than discrete episodic clinical procedures. The presence of 910.8K claims and an $857 avg paid/claim for T2023 implies large-scale, recurring per-member/per-month payments and a substantial managed caseload that drives revenue through continuity of service.

Competitive standing within Tennessee is strong for this service line: the provider ranks #2 of 14 in-state for T2023 and sits at the 92th percentile, described as notably above typical state volume for this code. That ranking positions the agency as a major statewide participant in targeted case management rather than a marginal player, but it also indicates there is at least one peer with larger reported volume.

The operational and financial profile reflects both scale and concentration risk. Relying on T2023 for $780.6M of Medicaid revenue concentrates exposure to changes in Medicaid policy, coding guidance, or monthly case-management reimbursement rates, so any program-level shifts in targeted case management could materially affect reported revenue.

The raw activity metrics — 910.8K claims for T2023 with an $857 avg paid/claim — point to high utilization intensity and sizeable per-claim reimbursement, suggesting the organization has the administrative capacity to submit large volumes of recurring monthly claims. Analysts should interpret these figures as evidence of ongoing case-management program throughput rather than one-time interventions.

Given the public-agency taxonomy and the absence of Medicare billing, these patterns align with a mission-oriented, Medicaid-focused service model. For competitive and regulatory monitoring, analysts should track state-level policy changes affecting T2023 rates and the behavior of the other 13 in-state providers to anticipate shifts in market share and revenue that would impact this agency heavily.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	910,830	$860	$780.6M

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

Tennessee Department Of Children's Services — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	2	10	11,790	$410	$75.3M

Nearby Providers

Other providers in the same ZIP code as Tennessee Department Of Children's Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Department Of Intellectual And Developmental Disabilities, State Of Tn	TN	Public Health or Welfare Agency	$0	$2.6B
Department Of Intellectual And Developmental Disabilities, State Of Tn	TN	Public Health or Welfare Agency	$0	$1.5B
Department Of Intellectual And Developmental Disabilities, State Of Tn	TN	Public Health or Welfare Agency	$0	$147.5M
State Of Tennessee	TN	Clinical Medical Laboratory	$0	$2.4M

Tennessee Department Of Children's Services — Billing Profile & Reimbursement Data

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Tennessee Department Of Children's Services — Billing Profile & Reimbursement Data

Sign up for Tennessee Department Of Children's Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References