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.

Ridgeview Psychiatric Hospital And Center, Inc. (NPI 1184659229)

Field	Value
Entity Type	Organization
Organization	Ridgeview Psychiatric Hospital And Center, Inc.
Address	240 W Tyrone Rd
City	Oak Ridge
State	TN
ZIP	37830
Taxonomy	Psychiatric Hospital
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$42M
Medicare	$0

Key Findings

RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, INC. presents as a psychiatric hospital whose Medicaid revenue is driven by long‑term supportive and community behavioral health services: H0043 (Supported housing, per diem) generated $12.3M (29.4% of Medicaid revenue), H2017 (Psychosocial rehabilitation services, per 15 minutes) generated $10.1M (23.9%), and S0280 (Medical home program, comprehensive care coordination and planning, initial plan) generated $8.1M (19.3%). These three codes reflect residential supported housing, high-volume psychosocial rehabilitation by time units, and structured care‑coordination planning — together implying an operational model focused on housing supports, intensive rehabilitative programming, and care-management activity.

The provider’s Medicaid revenue is highly concentrated: the top three Medicaid codes account for 72.6% of this provider’s total Medicaid revenue. With total Medicaid revenue of $42M and no Medicare billing on file, a large share of enterprise financial performance is tied to a few program-specific reimbursement streams, increasing sensitivity to policy or rate changes that affect those codes.

RIDGEVIEW effectively operates as a Medicaid-centric provider: there is no Medicare billing on file while Medicaid revenue is $42M, so the organization is functionally single‑payer from the federal program perspective. That concentration means state Medicaid policy, managed‑care contracting, or rate adjustments will materially influence its revenue and utilization patterns.

Competitive standing across its top Medicaid codes is mixed. For H2017 the provider ranks #2 of 23 in-state (95th percentile) and is described as notably above typical state volume, marking it as a leading provider of psychosocial rehabilitation in Tennessee; by contrast, H0043 ranks #6 of 20 (74th percentile) and S0280 ranks #19 of 40 (54th percentile), each characterized as typical or unremarkable state volume for those services, indicating strength in rehab programming but more modest presence in supported housing and medical home initial planning relative to peers.

Claims-level activity shows robust outpatient psychotherapy and E/M throughput in addition to the top residential/rehab lines: 90834 generated 83.4K claims and $4.8M (11.5% of Medicaid revenue) and ranks #8 of 360 providers in-state (98th percentile, notably above typical state volume), while 99213 produced 43.9K claims and $1.6M (3.9%) and ranks #95 of 4050 providers (98th percentile, notably above typical state volume). These volumes signal a large outpatient therapy and clinic-based evaluation workload supporting the facility’s rehabilitation and care coordination services.

Although the organization bills a wide set of behavioral health and hospital E/M codes, inpatient and discharge codes are a small share of revenue: examples include 99231 at $37.5K and 99223 at $34.5K. This pattern suggests episode-based or inpatient care is present but not a primary revenue driver compared with supported housing, psychosocial rehab, and care coordination.

The NPI was enumerated on 2006-07-11 (~20 years ago), indicating an established operating tenure in the market. This longevity, combined with high volume in H2017 and psychotherapy codes, supports the interpretation of a mature provider with embedded rehab and outpatient therapy operations in Tennessee.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0043	Supported housing, per diem	124,670	$100	$12.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	135,930	$70	$10.1M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	52,200	$160	$8.1M
90834	In 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…	83,410	$60	$4.8M
H2018	Psychosocial rehabilitation services, per diem	26,200	$80	$2.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	43,860	$40	$1.6M
90832	In 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…	29,760	$40	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,250	$80	$740.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	8,360	$30	$259.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	3,810	$60	$228.4K

Showing 1–10 of 36

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

Ridgeview Psychiatric Hospital And Center, Inc. — 5 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0280	Medical home program, comprehensive care coordination and planning, initial plan	19	40	22,180	$140	$21.3M
H0043	Supported housing, per diem	6	20	69,350	$180	$18.6M
H2018	Psychosocial rehabilitation services, per diem	6	10	38,180	$80	$3.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	2	20	11,380	$70	$1.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	19	60	1,340	$50	$1.1M
H2011	Crisis intervention service, per 15 minutes	6	20	350	$110	$856.7K
90834	In 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…	8	360	350	$50	$414.4K
90837	In 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…	189	440	530	$70	$282.3K
90832	In 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…	18	300	480	$30	$221.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	789	3,760	610	$40	$202.3K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ridgeview Psychiatric Hospital And Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Olsen	TN	Psychiatric/Mental Health Registered Nurse	$29.4K	$0

Nearby Providers

Other providers in the same ZIP code as Ridgeview Psychiatric Hospital And Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Physician Services PC	TN	Hospitalist Physician	$0	$14.7M
Emory Valley Center	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$11.3M
Discover Diagnostic Laboratory, LLC	TN	Clinical Medical Laboratory	$363.5K	$4.7M
Children's Clinic	TN	Pediatric Adolescent Medicine Physician	$0	$4.7M
East Tennessee Ear, Nose & Throat Specialists, PC	TN	Otolaryngology Physician	$0	$2.6M
East Tennessee Children's Primary Care Center, Inc.	TN	Pediatrics Physician	$0	$2.4M
The Eye Surgery Center Of Oak Ridge LLC	TN	Clinic/Center	$783K	$3.3K
Surgery Center Of Oak Ridge, LLC	TN	Ambulatory Surgical Clinic/Center	$241K	$493.4K
Brian Burnett	TN	Family Nurse Practitioner	$661.1K	$0
Joseph Eatherly	TN	Specialist	$394.3K	$3.9K

Ridgeview Psychiatric Hospital And Center, Inc. — Billing Profile & Reimbursement Data

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Ridgeview Psychiatric Hospital And 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