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.

Memphis Obstetrics And Gynecological Association PC (NPI 1306884911)

Field	Value
Entity Type	Organization
Organization	Memphis Obstetrics And Gynecological Association PC
Address	8110 N Brother Blvd Ste 100
City	Bartlett
State	TN
ZIP	38133
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	7,280	$80	$604.2K
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…	9,230	$40	$406K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	4,490	$80	$336.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4,550	$60	$254.6K
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…	3,120	$50	$152.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,220	$60	$74.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,740	$20	$40K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	650	$60	$35.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	16,690	$1	$33.4K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	660	$40	$23.7K

Showing 1–10 of 46

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

Memphis Obstetrics And Gynecological Association PC — 3 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	49	100	670	$60	$342.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	24	150	390	$60	$220.9K
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…	833	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…	423	4,050	620	$30	$183.9K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	3	40	40	$130	$97.8K
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…	398	1,080	120	$80	$90.7K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	85	120	300	$60	$89.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	45	150	210	$70	$85.6K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	11	10	80	$80	$62.9K
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…	649	1,240	120	$60	$53.1K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memphis Obstetrics And Gynecological Association PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Summitt	TN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$159.3K	$0
Mary Giddens	TN	Obstetrics & Gynecology Physician	$41.8K	$0
Sherri Li	TN	Obstetrics & Gynecology Physician	$34.6K	$0
Crista Crisler	TN	Obstetrics & Gynecology Physician	$26.1K	$0
John Albritton	TN	Obstetrics & Gynecology Physician	$25.8K	$0
Julie Harper	MS	Obstetrics & Gynecology Physician	$24.1K	$0
Gregory Patton	MS	Obstetrics & Gynecology Physician	$14.8K	$0
Joseph Sams	MS	Obstetrics & Gynecology Physician	$6.9K	$0

Nearby Providers

Other providers in the same ZIP code as Memphis Obstetrics And Gynecological Association PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Villages, Inc.	TN	Community/Behavioral Health Agency	$0	$615.4M
Saint Francis Hospital - Bartlett, Inc.	TN	General Acute Care Hospital	$0	$9.8M
St. John's Community Services	TN	Point of Service	$0	$6.7M
Truelove's In-home Health Care	TN	In Home Supportive Care Agency	$0	$5.2M
Nakita Cannady	TN	Home Health Aide	$0	$4.6M
Acro Pharmaceutical Services LLC	TN	Specialty Pharmacy	$0	$4.4M
Lincare Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$4.1M
Acadian Ambulance Service Of Tennessee, LLC	TN	Land Ambulance	$1.8M	$2.3M
West Tennessee Family Solutions, Inc	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$3M
Chc901 LLC	TN	Ambulance	$860.6K	$1.6M

Memphis Obstetrics And Gynecological Association PC — Billing Profile & Reimbursement Data

Sign up for Memphis Obstetrics And Gynecological Association PC — Billing Profile & Reimbursement Data policy alerts

Memphis Obstetrics And Gynecological Association PC — Billing Profile & Reimbursement Data

Sign up for Memphis Obstetrics And Gynecological Association PC — 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