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.

Memorial Health Care System Inc. (NPI 1255428736)

Field	Value
Entity Type	Organization
Organization	Memorial Health Care System Inc.
Address	2525 Desales Ave
City	Chattanooga
State	TN
ZIP	37404
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

132 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	11,170	$90	$1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	9,900	$70	$663.2K
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.	3,720	$70	$275.6K
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.	2,430	$110	$257.8K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	12,210	$20	$183.1K
G0378	Hospital observation service, per hour	2,060	$90	$181.1K
A0425	Ground mileage, per statute mile	23,520	$10	$141.1K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	6,310	$20	$119.9K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	1,500	$60	$91.4K
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	1,250	$70	$83.4K

Showing 1–10 of 132

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

Memorial Health Care System Inc. — 1 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

132 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	34	120	5,200	$120	$1.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	45	60	1,340	$50	$1.1M
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.	93	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.	164	610	570	$110	$884.4K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	68	110	2,170	$110	$650.5K
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.	123	570	640	$100	$637.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	28	100	400	$60	$524.7K
A0425	Ground mileage, per statute mile	66	340	6,120	$10	$280.5K
G0378	Hospital observation service, per hour	20	100	410	$210	$264K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	142	240	840	$20	$259.2K

Showing 1–10 of 132

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Health Care System Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Health Care System Inc.	TN	General Acute Care Hospital	$0	$2.4M
Corinne Hinson	TN	Family Nurse Practitioner	$492.9K	$0
Gregory Bruce	TN	Clinical Cardiac Electrophysiology Physician	$315.9K	$0
Gregg Shander	TN	Clinical Cardiac Electrophysiology Physician	$257.8K	$0
Kelly Richardson	TN	Clinical Cardiac Electrophysiology Physician	$237.7K	$0
Michael Allan	TN	Clinical Cardiac Electrophysiology Physician	$225.9K	$2.6K
Samuel Jones	TN	Clinical Cardiac Electrophysiology Physician	$227.8K	$0
Newton Wiggins	TN	Clinical Cardiac Electrophysiology Physician	$213.4K	$0
Brian Mitchell	TN	Cardiovascular Disease Physician	$200.4K	$0
Sachin Phade	TN	Vascular Surgery Physician	$188.5K	$1K

Nearby Providers

Other providers in the same ZIP code as Memorial Health Care System Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkridge Medical Center, Inc.	TN	General Acute Care Hospital	$0	$26.8M
County Of Hamilton	TN	Land Ambulance	$3.2M	$10.4M
Orange Grove Center, Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$7.8M
Mark Womack	TN	Hematology & Oncology Physician	$2.4M	$0
Bertrand Anz	TN	Hematology & Oncology Physician	$2.4M	$0
Erlanger Behavioral Health, LLC	TN	Psychiatric Hospital	$0	$2.2M
Derek Holland	TN	Hematology & Oncology Physician	$2M	$0
Gregory Sutton	TN	Hematology & Oncology Physician	$1.6M	$0
Edward Arrowsmith	TN	Hematology & Oncology Physician	$1.4M	$0
Benjamin Nadeau	TN	Hematology & Oncology Physician	$1.3M	$0

Memorial Health Care System Inc. — Billing Profile & Reimbursement Data

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Memorial Health Care System 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

Related Providers

Nearby Providers

Frequently Asked Questions

References