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.

Center For Excellence (NPI 1174916530)

Field	Value
Entity Type	Organization
Organization	Center For Excellence
Address	520 N University St
City	Murfreesboro
State	TN
ZIP	37130
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	March 10, 2015

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2018	Psychosocial rehabilitation services, per diem	43,110	$90	$3.9M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	240	$20	$5.2K

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

Center For Excellence — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2018	Psychosocial rehabilitation services, per diem	4	10	38,180	$80	$3.3M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	73	110	510	$20	$43.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Rutherford Office Of Budget Director	TN	Land Ambulance	$2.3M	$8M
Mckee, Curry, Stanley, Pediatric Dentistry Partnership	TN	Pediatric Dentistry	$0	$6.3M
Special Kids Inc	TN	Physical Therapist	$0	$6.2M
Hemal Mehta	TN	Physical Medicine & Rehabilitation Physician	$4.5M	$5K
Ronald Nelson	TN	Dermatology Physician	$336K	$0
James Garner	TN	Internal Medicine Physician	$166.3K	$0
Nicholas Dieringer	TN	Internal Medicine Physician	$127.6K	$1.1K
Joseph Weathersby	TN	Physician Assistant	$96.6K	$0
Charles Goodman	TN	Dermatology Physician	$95.8K	$0
Beckmans Prescription Shop	TN	Durable Medical Equipment & Medical Supplies	$90.5K	$0

Center For Excellence — Billing Profile & Reimbursement Data

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Center For Excellence — Billing Profile & Reimbursement Data

Sign up for Center For Excellence — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References