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.

Cg Of Tennessee, LLC (NPI 1306364054)

Field	Value
Entity Type	Organization
Organization	Cg Of Tennessee, LLC
Address	301 S Perimeter Park Dr
City	Nashville
State	TN
ZIP	37211
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	September 1, 2017

Payer Source	Total Paid
Medicaid	$63.5M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $63.5M in lifetime Medicaid revenue, which makes it effectively a single-payer (Medicaid-focused) operation in the available data. The absence of Medicare activity means analysts should evaluate this entity primarily through its Medicaid service lines and state waiver reimbursement exposure rather than through Medicare competitive dynamics.

Revenue is highly concentrated in a very small set of Medicaid service codes: the precomputed top 3 Medicaid codes account for 95.6% of this provider's total Medicaid revenue. That concentration indicates most of the provider’s financial performance is driven by a few residential and habilitation service lines rather than a broad mix of Medicaid offerings.

The code mix and descriptions indicate the organization operates primarily as a residential and habilitation facility for individuals with intellectual and developmental disabilities: large per-diem residential codes such as T2033 and T2016 dominate revenue, and T2021 shows material day habilitation activity. Together these code types are consistent with a community-based residential treatment facility whose core services are facility-based residential care and structured habilitation programs.

T2033 is the single largest revenue driver with $40.7M in revenue (64.1% of the provider's Medicaid revenue), 58.6K claims, and an average paid/claim of $694; it ranks #5 of 97 providers in-state (96th percentile; typical, unremarkable volume for this code). This ranking and dollar share show residential per-diem care is the dominant business line and the primary lever for any volume or rate changes.

T2016 is the second-largest contributor with $17.5M in revenue (27.5%), 24.5K claims, and a $712 average paid/claim; it ranks #4 of 45 providers in-state (93th percentile; typical, unremarkable volume for this code). Its high rank among a smaller peer set reinforces that residential habilitation per-diem services are a core competency and a key competitive position in-state.

T2021 (day habilitation) generates $2.6M (4.1% of Medicaid revenue) from 24K claims with an average paid/claim of $108 and ranks #11 of 104 providers in-state (90th percentile; typical, unremarkable volume for this code). This suggests substantial utilization of short-interval, lower-paid day habilitation units that supplement the facility’s per-diem residential programming.

Other billed codes show more modest or median participation: T1019 contributed $1.6M (2.5%) and ranks #105 of 208 (50th percentile; typical, unremarkable volume for this code), while T2012 and T2002 are smaller revenue contributors ($1.1M and $8.6K respectively) with middling to low state ranks. These data points indicate the provider’s service footprint is concentrated on a few residential/habilitation offerings rather than a broad set of ancillary personal care or transportation services.

The provider’s NPI was enumerated on 2017-09-01 (~9 years ago), so it has an established operational history in the state-level waiver and per-diem Medicaid market. Combined with the extreme revenue concentration in a handful of waiver/per-diem codes, this tenure suggests a stable but Medicaid-dependent business model that could be sensitive to state waiver policy or per-diem rate changes affecting those dominant codes.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	58,620	$690	$40.7M
T2016	Habilitation, residential, waiver; per diem	24,530	$710	$17.5M
T2021	Day habilitation, waiver; per 15 minutes	24,030	$110	$2.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	10,810	$150	$1.6M
T2012	Habilitation, educational; waiver, per diem	5,880	$200	$1.1M
T2002	Non-emergency transportation; per diem	1,230	$10	$8.6K

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

Cg Of Tennessee, LLC — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	5	100	4,520	$320	$31.6M
T2012	Habilitation, educational; waiver, per diem	5	10	3,640	$180	$13.3M
T2016	Habilitation, residential, waiver; per diem	4	50	2,620	$430	$11.9M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	105	210	10,880	$90	$3.7M
T2021	Day habilitation, waiver; per 15 minutes	11	100	3,920	$80	$3.4M
T2002	Non-emergency transportation; per diem	14	20	2,260	$10	$230.6K

Nearby Providers

Other providers in the same ZIP code as Cg Of Tennessee, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Visions, Inc.	TN	Foster Care Agency	$0	$133.3M
D&s Residential Services, LP	TN	In Home Supportive Care Agency	$0	$77.7M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$27.5M
Nashville Pediatric Providers, LLC	TN	Pediatric Nurse Practitioner	$0	$20M
Omni Community Health	TN	Social Worker	$0	$18.2M
Smile Center For Children	TN	Pediatric Dentistry	$0	$9.6M
Option Care Infusion Services, LLC	TN	Home Infusion Therapy Pharmacy	$0	$8.9M
Pediatric Partners Of Nashville, PLLC	TN	Pediatrics Physician	$0	$5.7M
Lifecare Heritage	TN	Adult Day Care Clinic/Center	$0	$4.8M
Oxygen And Sleep Associates, Inc.	TN	Oxygen Equipment & Supplies (DME)	$0	$4.3M

Cg Of Tennessee, LLC — Billing Profile & Reimbursement Data

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Cg Of Tennessee, LLC — 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

Nearby Providers

Frequently Asked Questions

References