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.

Medical Education Assistance Corporation (NPI 1235180480)

Key Findings

Field	Value
Entity Type	Organization
Organization	Medical Education Assistance Corporation
Address	101 Med Tech Pkwy Ste 306
City	Johnson City
State	TN
ZIP	37604
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$31.1M
Medicare	$0

MEDICAL EDUCATION ASSISTANCE CORPORATION reports $31.1M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused entity in this dataset. The NPI was enumerated 2006-05-12 (~20 years ago), indicating an established presence in the market.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 45.2% of this provider's total Medicaid revenue. Those three codes are 99214 ($4.9M, 18.5% of total Medicaid revenue), 99213 ($3.9M, 14.8% of total Medicaid revenue), and 99469 ($3.2M, 11.9% of total Medicaid revenue), showing a reliance on a small set of high-yield services.

The code mix points to a dual operational focus on high-volume outpatient evaluation-and-management visits and neonatal/newborn critical care. High revenue and claim counts for office visits (99214: 111K claims; 99213: 111.4K claims) coexist with substantial neonatal codes (99469: 13K claims; 99468: 726 claims), suggesting the organization operates large ambulatory clinics with significant newborn/NICU-directed services.

For core outpatient E/M work, the provider is a statewide leader: 99214 ranks #22 of 3759 providers in-state and is in the 99th percentile (extreme outlier, far above typical state volume for this code), and 99213 ranks #33 of 4050 providers in-state and is also in the 99th percentile (extreme outlier, far above typical state volume for this code). These rankings indicate exceptional volume relative to peers for established-patient office visits.

Neonatal and inpatient service standing is mixed: 99469 (neonatal subsequent care) generates $3.2M but ranks #5 of 16 providers in-state (73th percentile; typical, unremarkable volume for this code), while 99468 (initial neonatal critical care) ranks #2 of 11 providers in-state (90th percentile; typical, unremarkable volume for this code). At the same time, inpatient/observation E/M codes such as 99232 ($1M revenue, rank #23 of 843, 97th percentile; notably above typical state volume) and 99223 ($604.5K revenue, rank #9 of 484, 98th percentile; notably above typical state volume) reflect substantial hospital-based activity.

Preventive and pediatric-focused services are prominent: 99391 (20.4K claims, $1.3M) and 99392 (15.2K claims, $1.1M) are both in the 95–96th percentiles (notably above typical state volume for these codes), and immunizations (90460: 26.7K claims, $1.4M) are also high-volume and rank 31 of 613 providers in-state (95th percentile; notably above typical state volume for this code). This pattern is consistent with a sizable well-child and vaccination program.

The provider’s operations include a range of ancillary diagnostic and imaging services consistent with maternal/childcare and cardiology screening: 76811 ($496K, rank #10 of 58, 84th percentile), 76819 ($601.1K, rank #10 of 95, 90th percentile), 93306 ($496.7K, rank #25 of 241, 90th percentile) and lab testing such as 87502 ($464.7K, rank #22 of 195, 89th percentile). These revenues and ranks indicate in-house capacity for ultrasounds, echocardiography, and infectious-disease testing at volumes above many peers.

Overall, the combination of extreme outpatient E/M volumes, sizable preventive and vaccine delivery, and meaningful neonatal/inpatient activity — together with $31.1M in Medicaid receipts and no Medicare billing — portray an established, Medicaid-dominant provider with strong statewide presence in ambulatory primary care and maternal/newborn services, while neonatal critical-care codes are present but not uniformly dominant across state rankings.

Medicaid: Complete Services Breakdown

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

244 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	111,050	$40	$4.9M
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…	111,400	$40	$3.9M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	13,030	$240	$3.2M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	18,800	$80	$1.5M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	17,380	$80	$1.4M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	26,700	$50	$1.4M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	20,410	$60	$1.3M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	15,190	$70	$1.1M
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…	39,040	$30	$1M
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	25,110	$30	$652.8K

Showing 1–10 of 244

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

Medical Education Assistance Corporation — 12 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

244 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	5	10	1,110	$340	$3.6M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	5	20	1,380	$300	$2.7M
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.	617	630	510	$120	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	4	10	1,710	$90	$1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	5	20	890	$100	$997K
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.	486	610	570	$110	$884.4K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	56	130	620	$200	$655.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	138	230	2,130	$40	$616.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	10	30	1,060	$130	$484.1K
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…	48	360	350	$50	$414.4K

Showing 1–10 of 244

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Education Assistance Corporation	TN	Clinical Medical Laboratory	$114.7K	$2M
Andrea Hetherington	TN	Obstetrics & Gynecology Nurse Practitioner	$337.9K	$0
Raymon Aggarwal	TX	Internal Medicine Physician	$285K	$0
Gerald Falasca	TN	Rheumatology Physician	$233.6K	$0
Bonnie Burnette-vick	TN	Family Medicine Physician	$155.6K	$0
Phillip Riley	TN	Podiatrist	$93.3K	$0
Roland Huffaker	TN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$86.6K	$0
Allen Elster	NC	Pulmonary Disease Physician	$77.3K	$0
Benjamin England	TN	Sports Medicine (Family Medicine) Physician	$60.1K	$0
Robert Roth	TN	Psychologist	$36.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cura Partners, LLC	TN	In Home Supportive Care Agency	$0	$49.3M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$31.3M
Tri-cities Regional Emergency Physicians, PC	TN	Emergency Medicine Physician	$0	$24.7M
Catalyst Health Solutions,llc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18.7M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$8.1M
Juhn And Stark LLC	TN	Pediatric Dentistry	$0	$8.1M
First Tennessee Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$4.7M
Mountain Empire Radiology Inc PC	TN	Diagnostic Radiology Physician	$0	$4.5M
Tri-city Pediactric Cardiology P C	TN	Pediatric Cardiology Physician	$0	$4.5M
Brit E. Bowers, Dds, P. C.	TN	Dental Clinic/Center	$0	$4.4M

Medical Education Assistance Corporation — Billing Profile & Reimbursement Data

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Medical Education Assistance Corporation — 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