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.

Vanderbilt University Medical Center (NPI 1306889597)

Field	Value
Entity Type	Organization
Organization	Vanderbilt University Medical Center
Address	1411 W. Baddour Parkway
City	Lebanon
State	TN
ZIP	37087
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$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.

85 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.	15,370	$200	$3M
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.	8,920	$280	$2.5M
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.	15,400	$100	$1.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,560	$30	$203.4K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	1,920	$100	$194.1K
G0378	Hospital observation service, per hour	540	$180	$98.6K
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…	5,000	$10	$50K
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)…	640	$50	$33.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	480	$60	$30.3K
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.	470	$60	$27.7K

Showing 1–10 of 85

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

Vanderbilt University Medical Center — 0 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	49	60	1,340	$50	$1.1M
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.	77	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.	76	610	570	$110	$884.4K
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.	66	570	640	$100	$637.8K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	52	70	160	$500	$421.5K
G0378	Hospital observation service, per hour	44	100	410	$210	$264K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	97	240	840	$20	$259.2K
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.	95	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.	49	120	3,760	$30	$225K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	16	30	130	$50	$221.4K

Showing 1–10 of 85

Related Providers

Other providers that share a Tax Identification Number (TIN) with Vanderbilt University Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vanderbilt University Medical Center	TN	Internal Medicine Physician	$0	$189.5M
Vanderbilt University Medical Center	TN	General Acute Care Hospital	$0	$137.7M
Vanderbilt University Medical Center	TN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.1M
Antonia Kolokythas	TN	Oral and Maxillofacial Surgery (Dentist)	$0	$5.9M
Vanderbilt Integrated Providers, LLC	TN	Family Medicine Physician	$0	$4.3M
Heather Tamez	MD	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Kenneth Niermann	TN	Radiation Oncology Physician	$625.8K	$0
Stephen Kim	TN	Ophthalmology Physician	$608.9K	$0
Corbin Johnson	TN	Radiation Oncology Physician	$577.1K	$0
Avni Finn	TN	Ophthalmology Physician	$504.5K	$0

Nearby Providers

Other providers in the same ZIP code as Vanderbilt University Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cumberland Pediatric Associates PC	TN	Rural Health Clinic/Center	$0	$12.4M
Simply Elite In Home Care, LLC	TN	In Home Supportive Care Agency	$0	$6.8M
Ameri-kare Incorporated	TN	Mental Illness Community Based Residential Treatment Facility	$0	$5.2M
Wilson County Finance Department	TN	Land Ambulance	$726.6K	$2.6M
Anycare LLC	TN	Urgent Care Clinic/Center	$0	$2.4M
James Peyton	TN	Medical Oncology Physician	$916.4K	$0
Thomas Baker	TN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$248K	$0
Hardie Sorrels	TN	Internal Medicine Physician	$137.8K	$340
Emily Schneider	TN	Family Nurse Practitioner	$129.3K	$2.2K
Hardie Sorrels	TN	Internal Medicine Physician	$130.9K	$0

Vanderbilt University Medical Center — Billing Profile & Reimbursement Data

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Vanderbilt University Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References