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.

Pacesetters Incorporated (NPI 1386867380)

Field	Value
Entity Type	Organization
Organization	Pacesetters Incorporated
Address	2511 Highway 111 North
City	Algood
State	TN
ZIP	38506
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	7,480	$340	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	14,910	$70	$1.1M
T2016	Habilitation, residential, waiver; per diem	1,940	$390	$757.8K

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

Pacesetters Incorporated — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	29	100	4,520	$320	$31.6M
T2016	Habilitation, residential, waiver; per diem	25	50	2,620	$430	$11.9M
T2021	Day habilitation, waiver; per 15 minutes	16	100	3,920	$80	$3.4M

Nearby Providers

Other providers in the same ZIP code as Pacesetters Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sch LLC.	TN	In Home Supportive Care Agency	$0	$46M
Andrew Johnson	TN	Ophthalmology Physician	$1.9M	$0
Melvin Rapelyea	TN	Diagnostic Radiology Physician	$255.1K	$0
Chet Gentry	TN	Family Medicine Physician	$206.5K	$0
Matthew King	TN	Internal Medicine Physician	$127.4K	$0
Pamela Cosgrove	TN	Optometrist	$92.8K	$0
Taylor Phillips	TN	Physical Therapist	$77K	$0
Laila Hubard	TN	Family Nurse Practitioner	$72.4K	$10
Daniel Haile	TN	Anesthesiology Physician	$34.8K	$0
Patrick Kim	TN	Anesthesiology Physician	$33.4K	$0

Pacesetters Incorporated — Billing Profile & Reimbursement Data

Sign up for Pacesetters Incorporated — Billing Profile & Reimbursement Data policy alerts

Pacesetters Incorporated — Billing Profile & Reimbursement Data

Sign up for Pacesetters Incorporated — 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