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.

Comprehensive Medical Care, P.C. (NPI 1316915986)

Comprehensive Medical Care, P.C. is a pediatrics physician provider located in Chattanooga, Tennessee. This profile covers 0 Medicare and 88 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	Comprehensive Medical Care, P.C.
Address	6918 Shallowford Rd
City	Chattanooga
State	TN
ZIP	37421
Taxonomy	Pediatrics Physician
NPI Enumerated	March 9, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

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

88 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	51,510	$60	$3.1M
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…	49,020	$40	$2M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	49,080	$30	$1.3M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,330	$70	$850.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,680	$70	$849.6K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	34,850	$20	$766.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	9,150	$70	$676.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10,780	$60	$625.4K
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…	3,810	$60	$232.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,450	$150	$220.9K

Showing 1–10 of 88

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

Comprehensive Medical Care, P.C. — 13 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

88 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	14	50	140	$850	$541.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	14	70	160	$500	$421.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	17	610	1,220	$40	$206K
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…	60	3,760	610	$40	$202.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	31	520	470	$70	$187K
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…	85	4,050	620	$30	$183.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	31	480	580	$60	$174.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	18	510	240	$70	$133.7K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	9	10	90	$260	$102.5K
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…	1,015	1,080	120	$80	$90.7K

Showing 1–10 of 88

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkridge Medical Center, Inc.	TN	Psychiatric Hospital Unit	$0	$52.8M
Dx Mso, PLLC	TN	Urgent Care Clinic/Center	$0	$13.3M
Independent Physical Therapy, LLC	TN	Physical Therapist	$0	$12.3M
Chattanooga Allergy Clinic , PLLC	TN	Allergy & Immunology Physician	$0	$9M
Hospice Of Chattanooga Holdings, LLC	TN	Community Based Hospice Care Agency	$0	$5.3M
Advanced Respiratory, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Allied Pediatrics PLLC	TN	Pediatrics Physician	$0	$4.2M
Restoration Recovery, PLLC	TN	Addiction Medicine (Preventive Medicine) Physician	$0	$4.1M
Southeast Eye Specialists PLLC	TN	Ophthalmology Physician	$0	$3.8M
Hamilton County Department Of Education	TN	Local Education Agency (LEA)	$0	$3.7M

Comprehensive Medical Care, P.C. — Billing Profile & Reimbursement Data

Sign up for Comprehensive Medical Care, P.C. — Billing Profile & Reimbursement Data policy alerts

Comprehensive Medical Care, P.C. — Billing Profile & Reimbursement Data

Sign up for Comprehensive Medical Care, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References