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.

Middle Tennessee Emergency Physicians PC (NPI 1194758979)

Field	Value
Entity Type	Organization
Organization	Middle Tennessee Emergency Physicians PC
Address	2000 Church Street
City	Nashville
State	TN
ZIP	37236
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	153,850	$60	$9.4M
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.	154,590	$50	$8M
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.	37,430	$40	$1.4M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	110,560	$1	$331.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,920	$70	$204.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	2,130	$1	$4.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$100	$2.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	330	$10	$2K
G9744	Patient not eligible due to active diagnosis of hypertension	4,360	$0	$0
G9745	Documented reason for not screening or recommending a follow-up for high blood pressure	10	$0	$0

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

Middle Tennessee Emergency Physicians PC — 4 of 8 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

10 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.	8	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.	35	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.	4	570	640	$100	$637.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	160	110	$90	$96K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	391	480	160	$50	$46.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6	410	400	$1	$22.1K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	103	320	130	$1	$2.8K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	20	150	$1	$530
G9744	Patient not eligible due to active diagnosis of hypertension	3	50	90	$1	$1
G9745	Documented reason for not screening or recommending a follow-up for high blood pressure	3	10	20	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Middle Tennessee Emergency Physicians PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swati Greenfield	TN	Emergency Medicine Physician	$57K	$41.4K
Eric Greenfield	GU	Emergency Medicine Physician	$32.5K	$39.4K
Rebecca Carney Calisch	WY	Emergency Medicine Physician	$33K	$0

Nearby Providers

Other providers in the same ZIP code as Middle Tennessee Emergency Physicians PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sths Sleep Center, LLC	TN	Sleep Disorder Diagnostic Clinic/Center	$232.1K	$617.2K
Mary-margaret Allen	TN	Anatomic Pathology & Clinical Pathology Physician	$52.6K	$0
Michael Lomis	TN	Anatomic Pathology & Clinical Pathology Physician	$47.5K	$0
Tracey Doering	TN	Geriatric Medicine (Internal Medicine) Physician	$46.7K	$0

Middle Tennessee Emergency Physicians PC — Billing Profile & Reimbursement Data

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Middle Tennessee Emergency Physicians PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References