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.

Department Of Intellectual And Developmental Disabilities, State Of Tn (NPI 1356709976)

Field	Value
Entity Type	Organization
Organization	Department Of Intellectual And Developmental Disabilities, State Of Tn
Address	400 Deaderick St
City	Nashville
State	TN
ZIP	37243
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	February 10, 2016

Payer Source	Total Paid
Medicaid	$1.5B
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused public provider: it reports no Medicare billing on file and $1.45B in lifetime Medicaid revenue, making Medicaid the sole material payer in the dataset and indicating an operational footprint concentrated on state waiver and long-term support programs. Its NPI was enumerated 2016-02-10 (~10 years ago), so the organization has an established presence in the state Medicaid ecosystem over the last decade.

Revenue is highly concentrated in a small set of waiver and residential codes: the top three Medicaid codes (T2033, T2025, T2021) account for 86.2% of the provider’s total Medicaid revenue, with T2033 alone representing $1.01B (69.2% of total Medicaid revenue). That concentration indicates the business is structured around a narrow set of high-volume service lines rather than a broad mix of billable procedures.

The dominant service lines are residential and waiver-based habilitation: T2033 (residential care, waiver; per diem) and T2025 (waiver services, NOS) together generate $1.1859B in revenue, while T2021 (day habilitation, per 15 minutes) contributes $70.7M. This mix points to an operational model focused on long-term residential supports and day habilitation programming for individuals with intellectual and developmental disabilities rather than episodic clinical care.

State competitive standing is unusually large for several key codes: the provider ranks #2 of 97 in-state for T2033 and is labeled an "extreme outlier," ranks #1 of 16 for T2025 (100th percentile, "extreme outlier"), and ranks #2 of 104 for T2021 (99th percentile, "notably above typical"). Those ranks indicate it is a dominant or major player in Tennessee’s waiver and residential service delivery for I/DD populations for those high-revenue codes.

Secondary service lines show breadth across the I/DD continuum: high-volume supporting codes include H2025 (ongoing employment support, $36.2M), T2022 (case management, $25.7M), and T1003 (LPN/LVN services, $21.9M), with many of these ranking in high percentiles in-state. The presence of employment supports, case management, nursing, and crisis intervention (H2011 at $8M, ranked #1 of 19) suggests integrated service delivery across residential, habilitation, clinical, and community support functions.

Several individual codes are flagged as statistical outliers or notably above typical state volume, reinforcing the provider’s dominant role in selected services: T2033 and T2025 are described as "extreme outlier," T2021 as "notably above typical," and other codes such as T1003 and H2011 sit at or near the 100th percentile. These labels indicate the provider’s volumes are far above typical peers for core waiver/residential services, which has implications for state program capacity and contracting dynamics.

The operational risk profile includes high dependency on a few codes: because the top three codes make up 86.2% of Medicaid revenue, changes in rate-setting, waiver eligibility, or program authorizations for T2033/T2025/T2021 could materially affect overall revenue. Analysts should treat reimbursement or policy changes to those waiver/residential categories as high-impact scenarios for the provider.

Although this provider does not bill Medicare, its extensive Medicaid footprint and top-code rankings make it a strategic in-state provider for I/DD services. For payers and policymakers, the provider’s scale in residential and waiver services (e.g., $1.01B on T2033) positions it as a key counterparty for network adequacy, capitated Medicaid arrangements, or waiver program negotiations within Tennessee.

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2,525,850	$400	$1B
T2025	Waiver services; not otherwise specified (nos)	294,720	$600	$175.9M
T2021	Day habilitation, waiver; per 15 minutes	906,440	$80	$70.7M
T2020	Day habilitation, waiver; per diem	540,460	$100	$53M
H2025	Ongoing support to maintain employment, per 15 minutes	369,820	$100	$36.2M
T2022	Case management, per month	110,690	$230	$25.7M
T1003	Lpn/lvn services, up to 15 minutes	107,580	$200	$21.9M
T2016	Habilitation, residential, waiver; per diem	72,570	$220	$16M
T2012	Habilitation, educational; waiver, per diem	66,930	$240	$15.8M
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…	68,470	$150	$10.1M

Showing 1–10 of 53

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

Department Of Intellectual And Developmental Disabilities, State Of Tn — 8 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2020	Day habilitation, waiver; per diem	2	10	540,460	$80	$69.8M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2	100	4,520	$320	$31.6M
H2025	Ongoing support to maintain employment, per 15 minutes	2	10	510	$90	$17.5M
T2012	Habilitation, educational; waiver, per diem	2	10	3,640	$180	$13.3M
T2025	Waiver services; not otherwise specified (nos)	1	20	1,030	$570	$13.3M
T2016	Habilitation, residential, waiver; per diem	2	50	2,620	$430	$11.9M
T1003	Lpn/lvn services, up to 15 minutes	1	10	52,840	$170	$9.4M
T2022	Case management, per month	2	20	1,370	$240	$5.5M
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…	25	210	10,880	$90	$3.7M
T2021	Day habilitation, waiver; per 15 minutes	2	100	3,920	$80	$3.4M

Showing 1–10 of 53

Related Providers

Other providers that share a Tax Identification Number (TIN) with Department Of Intellectual And Developmental Disabilities, State Of Tn, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shavetta Conner	TN	Public Health & General Preventive Medicine Physician	$8.1K	$4.9M
State Of Tennessee	TN	Clinical Medical Laboratory	$0	$2.4M
State Of Tennessee	TN	Clinical Medical Laboratory	$0	$2.4M
Marshall County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$845.2K
Washington Co	OH	Public Health or Welfare Agency	$10.6K	$64.8K
Estelle Strydom	MA	Occupational Therapist	$7.3K	$0
Andrew Hinkle	TN	Occupational Therapist	$7K	$0
Jeffrey Barton	TN	Physical Therapist	$4.7K	$0
Danielle Osborne	TN	Occupational Therapist	$4.7K	$0
Lynna Jardeleza	TN	Physical Therapist	$2.9K	$0

Nearby Providers

Other providers in the same ZIP code as Department Of Intellectual And Developmental Disabilities, State Of Tn, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Department Of Intellectual And Developmental Disabilities, State Of Tn	TN	Public Health or Welfare Agency	$0	$2.6B
Tennessee Department Of Children's Services	TN	Public Health or Welfare Agency	$0	$780.6M
Department Of Intellectual And Developmental Disabilities, State Of Tn	TN	Public Health or Welfare Agency	$0	$147.5M

Department Of Intellectual And Developmental Disabilities, State Of Tn — Billing Profile & Reimbursement Data

Sign up for Department Of Intellectual And Developmental Disabilities, State Of Tn — Billing Profile & Reimbursement Data policy alerts

Department Of Intellectual And Developmental Disabilities, State Of Tn — Billing Profile & Reimbursement Data

Sign up for Department Of Intellectual And Developmental Disabilities, State Of Tn — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References