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.

Williamson County Hospital District (NPI 1265445506)

Field	Value
Entity Type	Organization
Organization	Williamson County Hospital District
Address	4321 Carothers Parkway
City	Franklin
State	TN
ZIP	37067
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 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.	8,260	$170	$1.4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	6,890	$200	$1.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	4,010	$200	$789.2K
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.	4,480	$120	$546.3K
A0425	Ground mileage, per statute mile	11,800	$20	$212.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,620	$70	$194.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1,980	$40	$69.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	360	$130	$47.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	10,820	$1	$21.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	9,130	$1	$18.3K

Showing 1–10 of 38

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

Williamson County Hospital District — 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

38 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)	51	120	5,200	$120	$1.4M
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.	115	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.	157	610	570	$110	$884.4K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	32	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.	473	570	640	$100	$637.8K
A0425	Ground mileage, per statute mile	118	340	6,120	$10	$280.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	54	180	480	$90	$245.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	76	120	3,760	$30	$225K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	202	210	400	$50	$157.2K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	18	30	470	$90	$126K

Showing 1–10 of 38

Nearby Providers

Other providers in the same ZIP code as Williamson County Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Connect America, Inc	TN	Community/Behavioral Health Agency	$0	$285.6M
Capitol City Residential Healthcare Tn LLC	TN	Developmentally Disabled Services Day Training Agency	$0	$29.4M
Summit Bhc New Jersey, LLC	TN	Substance Abuse Rehabilitation Facility	$0	$21.9M
Miller Helpers	TN	In Home Supportive Care Agency	$0	$15.3M
Results-ast Jv, LLC	TN	Physical Therapist	$0	$6.9M
Skin Solutions Dermatology & Skin Cancer Surgery, P.C.	TN	Specialist	$0	$4.4M
Dr. Mark Lynn & Associates, PLLC	TN	Optometrist	$0	$3.2M
Ambulatory Surgery Center Of Cool Springs LLC	TN	Ambulatory Surgical Clinic/Center	$2.5M	$0
Chase Escott	TN	Radiation Oncology Physician	$1.3M	$0
Douglas Kingma	TN	Hematology (Pathology) Physician	$1.2M	$0

Williamson County Hospital District — Billing Profile & Reimbursement Data

Sign up for Williamson County Hospital District — Billing Profile & Reimbursement Data policy alerts

Williamson County Hospital District — Billing Profile & Reimbursement Data

Sign up for Williamson County Hospital District — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References