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    OpenPayerNPI Medicare & MedicaidParkwest Medical Center
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    Parkwest Medical Center — Billing Profile & Reimbursement Data

    NPI 1396739165 · Knoxville, TN · General Acute Care Hospital

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    Parkwest Medical Center is a general acute care hospital provider located in Knoxville, Tennessee. This profile covers 0 Medicare and 121 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationParkwest Medical Center
    Address9352 Parkwest Blvd
    CityKnoxville
    StateTN
    ZIP37923
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedSeptember 7, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$30M
    Medicare$0

    Key Findings

    This provider appears effectively single‑payer: there is no Medicare billing on file while Total Medicaid revenue is $30M, indicating Medicaid is the sole documented government payer in the dataset and the dominant revenue source for the practice. Analysts should treat Medicaid patterns as representative of overall public-payer activity for this entity.

    Revenue concentration is pronounced: the precomputed top‑3 Medicaid codes account for 54.8% of the provider's total Medicaid revenue, with S0280 alone generating $8.8M (30.0% of Medicaid revenue). That concentration signals reliance on a small set of services for a majority of Medicaid dollars.

    The top revenue drivers point to a mixed medical-home/behavioral-health and acute outpatient model. S0280 (Medical home program) at 57.8K claims and $8.8M revenue, paired with high-volume office E/M 99214 (82.4K claims, $3.8M) and emergency E/M 99284 (14.6K claims, $3.5M), suggests integrated care coordination plus substantial ambulatory and ED throughput.

    Behavioral health services are a substantial component of activity and revenue: psychotherapy codes 90834 (32.2K claims, $1.9M, 6.6%) and 90832 (42.1K claims, $1.7M, 5.7%) together contribute materially to Medicaid revenue, and H2017 (psychosocial rehabilitation) and 90853 (group psychotherapy) also appear in the top codes. This mix supports a sizable behavioral‑health service line embedded within the hospital’s Medicaid footprint.

    Emergency and inpatient management comprise a sizable portion of reported Medicaid activity: 99284 (14.6K claims, $3.5M), 99283 (10.1K claims, $1.5M), and 99285 (3.2K claims, $1.1M) indicate meaningful ED volume, while inpatient/observation codes such as 99231 (43.4K claims, $1.3M) and 99238 (5.6K claims, $268.1K) signal substantial inpatient follow-up and discharge services consistent with a General Acute Care Hospital taxonomy.

    Competitive standing is uneven across service lines: the provider ranks near the top in several E/M and inpatient codes — for example 99214 ranks #31 of 3759 in-state (99th percentile) and 99231 ranks #2 of 257 (100th percentile) — indicating it is a major in-state provider for those services. By contrast, S0280 ranks #18 of 40 (56th percentile) and many procedure codes fall in mid-to-high percentiles, showing strong but not uniformly dominant market position across all lines.

    There are clear statistical outliers in select E/M codes: 99231 and 99212 both rank #2 of their peer sets (100th percentile) and are labeled “extreme outlier” relative to state volumes, while 99214 and several psychotherapy codes are “notably above typical” or high‑percentile (e.g., 90834 and 90832 at the 96th percentile). These labels indicate unusually high state-level concentration for specific visit types and behavioral‑health services, meriting closer operational review.

    The provider has a long tenure in the NPI registry (enumerated 2005-09-07, ~21 years ago), which, combined with the Medicaid revenue scale and high-volume service lines, suggests an established regional presence and operational history to support contracting or utilization analyses.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    121 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S0280Medical home program, comprehensive care coordination and planning, initial plan57,760$150$8.8M
    99214The 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…82,410$50$3.8M
    99284The 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.14,630$240$3.5M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…32,170$60$1.9M
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…42,120$40$1.7M
    99283The 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.10,110$150$1.5M
    99213The 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…41,850$30$1.3M
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…43,430$30$1.3M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.13,350$90$1.1M
    99285The 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.3,240$330$1.1M

    Showing 1–10 of 121

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    121 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S0280Medical home program, comprehensive care coordination and planning, initial plan184022,180$140$21.3M
    H2017Psychosocial rehabilitation services, per 15 minutes122011,380$70$1.9M
    G0463Hospital outpatient clinic visit for assessment and management of a patient22601,340$50$1.1M
    99284The 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.81630510$120$1.1M
    99283The 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.106610570$110$884.4K
    99285The 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.110570640$100$637.8K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…76100400$60$524.7K
    H0034Medication training and support, per 15 minutes1020610$60$421.5K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…17360350$50$414.4K
    H0038Self‑help/peer services, per 15 minutes13301,450$40$310.3K

    Showing 1–10 of 121

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sibyl WrayTNNeurology Physician$947K$0
    Shannon ByrdTNPulmonary Disease Physician$348.7K$0
    Nicholas XenopoulosTNInterventional Cardiology Physician$253.9K$0
    John PrinceTNPulmonary Disease Physician$230.6K$0
    Ayaz RahmanTNInterventional Cardiology Physician$208K$0
    John MeriwetherTNClinical Cardiac Electrophysiology Physician$167.7K$0
    Harley GibbsTNPsychiatric/Mental Health Nurse Practitioner$157.8K$0
    Sara NegrottoTNInterventional Cardiology Physician$140.2K$0
    Thomas WannenburgTNClinical Cardiac Electrophysiology Physician$135.2K$0
    David WoodTNInterventional Cardiology Physician$100.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deborah L Curlee Communication Consultants IncTNSpeech-Language Pathologist$0$54.5M
    Rha Health Services Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$31.7M
    Preferred Care At HomeTNIn Home Supportive Care Agency$0$19M
    Tennessee Ear, Nose & Throat Consultants, PCTNOtolaryngology Physician$0$9.2M
    Nurturing Independence IncTNIn Home Supportive Care Agency$0$5.9M
    Special Care Inc.TNCommunity Based Hospice Care Agency$0$5.1M
    Childhelp, Inc.TNCommunity/Behavioral Health Agency$0$4.8M
    Family Home Care Services, LLCTNIn Home Supportive Care Agency$0$4.7M
    East Tn Human Resource AgencyTNNon-emergency Medical Transport (VAN)$0$3.9M
    Helping Hands Home Assistance, IncTNHome Health Agency$0$3.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Tennessee Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Parkwest Medical Center — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee