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.

Obstetrics And Medicine PLLC (NPI 1265766877)

Obstetrics And Medicine PLLC is a obstetrics physician provider located in Memphis, Tennessee. This profile covers 0 Medicare and 25 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	Obstetrics And Medicine PLLC
Address	6005 Park Ave Ste 310
City	Memphis
State	TN
ZIP	38119
Taxonomy	Obstetrics Physician
NPI Enumerated	September 29, 2009

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

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

25 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…	1,510	$1,240	$1.9M
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…	960	$1,170	$1.1M
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…	2,170	$90	$191.2K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	930	$150	$134.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,170	$80	$96.8K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	880	$110	$92.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,170	$70	$85.7K
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…	1,410	$50	$76.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2,420	$30	$72.5K
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…	1,620	$40	$56.7K

Showing 1–10 of 25

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

Obstetrics And Medicine PLLC — 4 of 21 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	14	10	1,710	$90	$1M
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…	3	80	100	$1,260	$405.3K
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…	1,309	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…	1,329	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…	1	30	50	$1,230	$164.2K
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…	80	1,080	120	$80	$90.7K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	23	110	190	$50	$64.7K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	18	140	470	$40	$54.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	112	660	190	$60	$53.3K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	8	60	90	$140	$52.6K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ut Medical Group Inc	TN	Multi-Specialty Clinic/Center	$0	$53.1M
Amisub (sfh), Inc.	TN	General Acute Care Hospital	$0	$20.2M
Maxim Healthcare Services, Inc.	TN	Home Health Agency	$0	$18.5M
Mid-south Maternal Fetal Medicine PC	TN	Maternal & Fetal Medicine Physician	$0	$8.1M
Elect Home Care, LLC	TN	In Home Supportive Care Agency	$0	$7.6M
First Choice Community Services, Inc	TN	In Home Supportive Care Agency	$0	$7.5M
Tennessee Emergency Physicians, PLLC	TN	Emergency Medicine Physician	$0	$6.3M
Dar Salud Care PLLC	TN	Family Medicine Physician	$0	$5.2M
Silver Angels Of Tennessee - Shelby, LLC	TN	In Home Supportive Care Agency	$0	$5.1M
Abundant Care LLC	TN	In Home Supportive Care Agency	$0	$4.1M

Obstetrics And Medicine PLLC — Billing Profile & Reimbursement Data

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Obstetrics And Medicine PLLC — 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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