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.

Womens Health Center Of Dickson (NPI 1194761551)

Field	Value
Entity Type	Organization
Organization	Womens Health Center Of Dickson
Address	111 Hwy 70 E
City	Dickson
State	TN
ZIP	37055
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	550	$1,330	$730.5K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	4,510	$50	$243.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	2,340	$90	$208.6K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	2,300	$60	$144.6K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	1,780	$70	$119K
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…	3,070	$40	$116.7K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	1,590	$70	$105K
J1050	Injection, medroxyprogesterone acetate, 1 mg	1,110	$90	$98.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,190	$80	$95.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	1,380	$60	$78.9K

Showing 1–10 of 30

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

Womens Health Center Of Dickson — 0 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	227	610	570	$110	$884.4K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	17	80	100	$1,260	$405.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	35	100	670	$60	$342.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	83	150	390	$60	$220.9K
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…	2,639	3,760	610	$40	$202.3K
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…	936	4,050	620	$30	$183.9K
59510	In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…	25	30	50	$1,230	$164.2K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	22	40	40	$130	$97.8K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	16	120	300	$60	$89.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	14	150	210	$70	$85.6K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Womens Health Center Of Dickson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Tennessee Hospital Corporation	TN	General Acute Care Hospital	$0	$30.1M
Senior Moments Healthcare Inc.	TN	In Home Supportive Care Agency	$0	$21.5M
Dickson Medical Associates PC	TN	Family Medicine Physician	$0	$11.3M
Dickson Pediatric Dentistry PLLC	TN	Pediatric Dentistry	$0	$10.8M
Freeman Recovery Center, LLC	TN	Substance Abuse Rehabilitation Facility	$0	$8.9M
Developmental Services Of Dickson County, Inc.	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M
Middle Tennessee Imaging LLC	TN	Diagnostic Radiology Physician	$0	$4.5M
Luther Lake Emergency Physicians, PLLC	TN	Emergency Medicine Physician	$0	$3.8M
Dickson County Office Of County Mayor	TN	Land Ambulance	$394.2K	$2.4M
Tennessee Dental Professionals PC	TN	General Practice Dentistry	$0	$2.4M

Womens Health Center Of Dickson — Billing Profile & Reimbursement Data

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Womens Health Center Of Dickson — 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