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.

Maury Regional Medical Group, Inc (NPI 1205886264)

Maury Regional Medical Group, Inc is a family medicine physician provider located in Columbia, Tennessee. This profile covers 0 Medicare and 116 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Maury Regional Medical Group, Inc
Address	854 W James Campbell Blvd
City	Columbia
State	TN
ZIP	38401
Taxonomy	Family Medicine Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

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

116 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…	1,300	$1,150	$1.5M
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…	63,890	$20	$1.1M
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…	32,190	$30	$965.7K
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…	11,040	$50	$541.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	24,210	$20	$387.4K
99204	The provider sees a new 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 provider…	3,870	$70	$251.6K
J0585	Injection, onabotulinumtoxina, 1 unit	560	$370	$207.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,180	$40	$181.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	10,160	$10	$132.1K
99203	The provider sees a new 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 provider…	2,980	$40	$119.2K

Showing 1–10 of 116

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

Maury Regional Medical Group, Inc — 6 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	6	20	200	$880	$709.1K
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…	6	80	100	$1,260	$405.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	47	60	320	$140	$346.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	68	150	390	$60	$220.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	86	170	340	$190	$206.8K
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…	97	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…	63	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…	20	30	50	$1,230	$164.2K
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	160	110	$90	$96K
99204	The provider sees a new 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 provider…	51	1,080	120	$80	$90.7K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maury Regional Hospital Marshall Medical Center	TN	Critical Access Hospital	$0	$5.5M
Lucas Wilmore	TN	Addiction Medicine (Family Medicine) Physician	$4.4K	$4.6M
Gibran Naddy	TN	Internal Medicine Physician	$545K	$28.9K
Nilay Patel	TN	Surgery Physician	$445.2K	$0
Justin Kropf	TN	Urology Physician	$376K	$0
Stephen Parey	TN	Otolaryngology Physician	$360.3K	$0
Joe Mobley	TN	Specialist	$281.8K	$0
Varun Dhulipala	TN	Hematology & Oncology Physician	$276.7K	$0
Richard Kennedy	TN	Family Medicine Physician	$242.8K	$0
Jawaid Kamal	TN	Internal Medicine Physician	$26.9K	$215.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maury Regional Hospital	TN	General Acute Care Hospital	$0	$24.6M
Cedar Recovery Center Of Middle Tennessee, LLC	TN	Addiction Medicine (Preventive Medicine) Physician	$0	$21.4M
Columbia Pediatric Clinic, Inc.	TN	Primary Care Clinic/Center	$0	$20.5M
The King's Daughters' School	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.7M
Right Care Inc	TN	Primary Care Clinic/Center	$0	$4.4M
Caris Healthcare	TN	Community Based Hospice Care Agency	$0	$3.8M
Medical Necessities & Services LLC	TN	Oxygen Equipment & Supplies (DME)	$0	$3.3M
Pca Of Columbia, Inc.	TN	Cytopathology Physician	$1.8M	$1.4M
South Central Tn Development District	TN	Non-emergency Medical Transport (VAN)	$0	$3.1M
Children's Dental Associates	TN	Pediatric Dentistry	$0	$2.7M

Maury Regional Medical Group, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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