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.

Opry Medical Group LLC (NPI 1164923298)

Field	Value
Entity Type	Organization
Organization	Opry Medical Group LLC
Address	810 Dominican Dr
City	Nashville
State	TN
ZIP	37228
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	February 23, 2018

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	1,660	$750	$1.2M
E0603	Breast pump, electric (ac and/or dc), any type	3,700	$160	$577.4K
L0635	Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction…	820	$630	$520.8K
L0651	Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces…	740	$430	$316.9K
L0488	Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular…	290	$630	$184.9K
L0648	Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on…	200	$490	$96.9K
L7362	Battery charger, six volt, each	530	$140	$74.3K
A4556	Electrodes, (e.g., apnea monitor), per pair	160	$170	$27K
E0650	Pneumatic compressor, non-segmental home model	400	$40	$15.1K
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	320	$30	$8.8K

Showing 1–10 of 29

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

Opry Medical Group LLC — 5 of 22 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0603	Breast pump, electric (ac and/or dc), any type	2	10	1,710	$170	$2.7M
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	2	10	12,420	$80	$1M
K1005	Disposable collection and storage bag for breast milk, any size, any type, each	2	10	8,880	$70	$588.4K
A4287	Disposable collection and storage bag for breast milk, any size, any type, each	2	10	7,110	$80	$572.8K
L0635	Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction…	1	10	420	$630	$265.5K
L0488	Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular…	1	10	290	$630	$184.9K
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	1	30	120	$480	$132.6K
L0651	Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces…	1	10	80	$450	$123.9K
L7362	Battery charger, six volt, each	1	10	530	$140	$74.2K
L0648	Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on…	1	10	90	$370	$38.1K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Opry Medical Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mental Health Cooperative, Inc	TN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$363.2M
Aegis Sciences Corporation	TN	Clinical Medical Laboratory	$34.5M	$193.8M
Consumer Direct For Tennessee, LLC	TN	In Home Supportive Care Agency	$0	$126M
Privia Medical Group Tennessee LLC	TN	Family Medicine Physician	$0	$5M
Katherine Bhadra	TN	Family Nurse Practitioner	$219.4K	$3.9K
Debra Dooley	TN	Family Nurse Practitioner	$169.6K	$0
Aida Valencia	TN	Anatomic Pathology & Clinical Pathology Physician	$56.1K	$0
Delaney Mills	TN	Acute Care Nurse Practitioner	$47.6K	$0
Melissa May	TN	Gerontology Nurse Practitioner	$37.4K	$0
Dena Wampler	TN	Psychiatric/Mental Health Nurse Practitioner	$14.7K	$0

Opry Medical Group LLC — Billing Profile & Reimbursement Data

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Opry Medical Group LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References