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.

Ut Regional One Physicians Inc (NPI 1285042028)

Ut Regional One Physicians Inc is a anesthesiology physician provider located in Memphis, Tennessee. This profile covers 0 Medicare and 20 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	Ut Regional One Physicians Inc
Address	877 Jefferson Ave
City	Memphis
State	TN
ZIP	38103
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 24, 2014

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	6,180	$350	$2.2M
01961	The provider performs anesthesia services for a cesarean delivery.	410	$140	$55.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,300	$20	$23.5K
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…	550	$20	$12.7K
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…	290	$30	$8.5K
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…	370	$10	$4.8K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	110	$30	$3.2K
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…	40	$60	$2.6K
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…	420	$10	$2.5K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	60	$50	$2.5K

Showing 1–10 of 20

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

Ut Regional One Physicians Inc — 0 of 18 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	4	50	110	$350	$470.6K
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…	2,341	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…	2,372	4,050	620	$30	$183.9K
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.	196	210	400	$50	$157.2K
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…	748	1,080	120	$80	$90.7K
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…	713	840	440	$20	$73K
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…	221	310	1,590	$1	$53.4K
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…	311	1,240	120	$60	$53.1K
01961	The provider performs anesthesia services for a cesarean delivery.	4	10	120	$180	$51.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	74	260	280	$20	$35.4K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ut Regional One Physicians Inc	TN	Surgery Physician	$0	$24.1M
Eric Johnson	KY	Diagnostic Radiology Physician	$78.6K	$3.1M
Mark Brady	RI	Emergency Medicine Physician	$32.9K	$627.4K
Salil Joshi	TN	Vascular & Interventional Radiology Physician	$402.5K	$0
Jorge Salazar	TN	Vascular & Interventional Radiology Physician	$346.2K	$0
David Peeler	TN	Diagnostic Radiology Physician	$220.6K	$0
Phillip Zeni	TN	Vascular & Interventional Radiology Physician	$208.5K	$0
Leeanna Beech	TN	Physician Assistant	$184.3K	$0
Ibrahim Sultan-ali	TN	Pulmonary Disease Physician	$167K	$4.6K
Allyson Stewart	TN	Psychiatric/Mental Health Nurse Practitioner	$171.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Healthcare - Memphis Hospitals	TN	Children's Hospital	$0	$84.4M
Ut Lebonheur Pediatric Specialists, Inc.	TN	Pediatrics Physician	$0	$63.8M
Shelby County Health Care Corporation	TN	General Acute Care Hospital	$0	$56.1M
City Of Memphis General City Govt.	TN	Land Ambulance	$3.8M	$52M
Pediatric Emergency Specialists, PC	TN	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$39.1M
Meritan, Inc	TN	Home Health Agency	$0	$16.9M
Lebonheur Patient Transportation	TN	Land Ambulance	$0	$4.5M
Pediatric Anesthesiologists P A	TN	Anesthesiology Physician	$0	$4.4M
University Of Tennessee	TN	Dentist	$0	$3.1M
Utmg Dermatopathology, LLC	TN	Clinical Medical Laboratory	$1.5M	$127.6K

Ut Regional One Physicians Inc — Billing Profile & Reimbursement Data

Sign up for Ut Regional One Physicians Inc — Billing Profile & Reimbursement Data policy alerts

Ut Regional One Physicians Inc — Billing Profile & Reimbursement Data

Sign up for Ut Regional One Physicians Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References