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.

Privia Medical Group Tennessee LLC (NPI 1376110858)

Privia Medical Group Tennessee LLC is a family medicine physician provider located in Nashville, Tennessee. This profile covers 0 Medicare and 100 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	Privia Medical Group Tennessee LLC
Address	1 Vantage Way Ste C240
City	Nashville
State	TN
ZIP	37228
Taxonomy	Family Medicine Physician
NPI Enumerated	June 4, 2021

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

100 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	36,880	$30	$1.1M
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…	27,000	$40	$1.1M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	20,770	$20	$415.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	19,880	$20	$377.7K
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…	5,140	$70	$344.3K
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.	7,160	$30	$207.6K
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…	3,260	$60	$182.7K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	11,960	$10	$167.4K
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…	3,400	$50	$163.4K
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…	2,370	$60	$130.4K

Showing 1–10 of 100

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

Privia Medical Group Tennessee LLC — 4 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

100 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	42	340	1,400	$40	$354.2K
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.	50	240	840	$20	$259.2K
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.	113	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…	115	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…	105	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…	118	4,050	620	$30	$183.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	32	130	370	$50	$183.3K
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…	117	480	580	$60	$174.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	28	350	1,060	$30	$173.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	107	510	240	$70	$133.7K

Showing 1–10 of 100

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Chastain	TN	Family Medicine Physician	$302.3K	$0
Keith Nord	TN	Orthopaedic Surgery Physician	$257K	$42.3K
James Mcgee	TN	Internal Medicine Physician	$213.5K	$2.1K
Philip Nanney	TN	Family Medicine Physician	$180.2K	$0
Ashok Mehta	TN	Internal Medicine Physician	$35.9K	$103K
Jason Colinger	TN	Family Medicine Physician	$137.6K	$0
Jessica Walker	TN	Physician Assistant	$125.3K	$0
Christina Schrack	MD	Primary Care Nurse Practitioner	$114.9K	$0
Joseph Teal	TN	Physician Assistant	$108.1K	$0
Tammy Mcgee	TN	Physical Therapist	$98.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mental Health Cooperative, Inc	TN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$363.2M
Aegis Sciences Corporation	TN	Clinical Medical Laboratory	$34.5M	$193.8M
Consumer Direct For Tennessee, LLC	TN	In Home Supportive Care Agency	$0	$126M
Opry Medical Group LLC	TN	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Katherine Bhadra	TN	Family Nurse Practitioner	$219.4K	$3.9K
Debra Dooley	TN	Family Nurse Practitioner	$169.6K	$0
Aida Valencia	TN	Anatomic Pathology & Clinical Pathology Physician	$56.1K	$0
Delaney Mills	TN	Acute Care Nurse Practitioner	$47.6K	$0
Melissa May	TN	Gerontology Nurse Practitioner	$37.4K	$0
Dena Wampler	TN	Psychiatric/Mental Health Nurse Practitioner	$14.7K	$0

Privia Medical Group Tennessee LLC — Billing Profile & Reimbursement Data

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Privia Medical Group Tennessee LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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