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.

Centerstone Of Tennessee, Inc. (NPI 1396767430)

Field	Value
Entity Type	Organization
Organization	Centerstone Of Tennessee, Inc.
Address	1921 Ransom Pl
City	Nashville
State	TN
ZIP	37217
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicaid	$363.8M
Medicare	$0

Key Findings

CENTERSTONE OF TENNESSEE, INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $363.8M in lifetime Medicaid revenue, indicating a heavily Medicaid-dependent payer mix rather than a dual-payer balance. Analysts should treat this profile as a single‑payer (Medicaid) operational footprint when evaluating revenue risk and contracting leverage.

Revenue is highly concentrated in a few Medicaid codes: the precomputed top three codes account for 47.4% of the provider’s total Medicaid revenue, led by S0280 ($68M, 18.7%), H0043 ($55.9M, 15.4%), and 90837 ($48.6M, 13.4%). This concentration means a large portion of cashflow depends on sustained reimbursement and utilization for care coordination, supported housing, and long psychotherapy sessions.

The code mix signals a blended service model combining high-volume outpatient psychotherapy with programmatic per‑diem and community services. High-revenue psychotherapy codes (90837, 90834, 90832) alongside per-diem program codes (H0043, H0037, H2018, H2017) and care-coordination code S0280 suggest the organization operates both clinical therapy clinics and supported housing / community psychiatric programs.

CENTERSTONE is a dominant statewide provider for several core behavioral health services: H0043 (supported housing) ranks #1 of 20 in-state and is described as an "extreme outlier," while 90837, 90834, and 90832 each rank #1 of large denominators (436, 360, 300 respectively) and are labeled "extreme outlier" in volume. These rankings and percentile callouts indicate market leadership in psychotherapy and supported-housing services within Tennessee.

The provider’s competitive standing is uneven across codes: S0280 (medical home program) is #5 of 40 (90th percentile; typical, unremarkable volume) and H0037 is #4 of 16 (80th percentile; typical), showing that while CENTERSTONE dominates some lines, its position in care-coordination and certain community program segments is more typical relative to peers. Analysts should therefore differentiate between lines where CENTERSTONE is a statewide leader and those where it competes in a more crowded field.

High-volume E/M and psychosocial rehabilitation activity complements the psychotherapy dominance: 99214 and 99213 show large claim counts and rank #6 among thousands of providers in-state (100th percentile; extreme outlier), and H2017 (psychosocial rehabilitation) is #1 of 23 (100th percentile). This pattern points to substantial integrated outpatient medical management and structured rehab services in addition to psychotherapy, implying broad care pathways for patients rather than a narrow specialty practice.

Several lower-claim, high-paid services suggest resource-intensive programs: H2020 (therapeutic behavioral services) has a relatively small claim count but a high avg paid/claim ($1968) generating $12.5M in revenue and ranks #4 of 36 (91th percentile; typical), while S0280 and per-diem codes drive large aggregate dollars through volume. These observations indicate a mix of high-volume, lower-unit services and fewer, higher-intensity interventions within the same operational footprint.

The provider has long tenure in the Medicare/Medicaid universe, with an NPI enumeration date of 2006-07-25 (~20 years ago), which supports interpretation of the high-volume patterns as sustained operating behaviors rather than short-term anomalies. Tenure combined with the extreme outlier rankings on multiple codes strengthens the case that the observed service mix and market position are persistent features of CENTERSTONE’s business model.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0280	Medical home program, comprehensive care coordination and planning, initial plan	462,490	$150	$68M
H0043	Supported housing, per diem	582,140	$100	$55.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	462,720	$110	$48.6M
90834	In 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…	616,330	$80	$46.2M
H0037	Community psychiatric supportive treatment program, per diem	192,420	$160	$31M
90832	In 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…	477,100	$60	$26.7M
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…	242,650	$60	$15.3M
H2020	Therapeutic behavioral services, per diem	6,330	$1,970	$12.5M
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…	254,880	$40	$11.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	224,570	$50	$10.1M

Showing 1–10 of 40

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

Centerstone Of Tennessee, Inc. — 11 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0280	Medical home program, comprehensive care coordination and planning, initial plan	5	40	22,180	$140	$21.3M
H0037	Community psychiatric supportive treatment program, per diem	4	20	20,260	$150	$19.4M
H0043	Supported housing, per diem	1	20	69,350	$180	$18.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	4	10	2,040	$430	$7.7M
H2020	Therapeutic behavioral services, per diem	4	40	880	$1,910	$5.9M
G9002	Coordinated care fee, maintenance rate	3	10	13,140	$80	$3.5M
H2018	Psychosocial rehabilitation services, per diem	1	10	38,180	$80	$3.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	1	20	11,380	$70	$1.9M
S5145	Foster care, therapeutic, child; per diem	6	20	1,370	$590	$1.5M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	105	130	620	$200	$655.5K

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Centerstone Of Tennessee, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angela Davenport	TN	Psychiatric/Mental Health Nurse Practitioner	$44.3K	$0
Caylin Moen	TN	Psychiatric/Mental Health Nurse Practitioner	$1.4K	$0

Nearby Providers

Other providers in the same ZIP code as Centerstone Of Tennessee, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathgroup Labs, LLC	TN	Clinical Medical Laboratory	$24.8M	$62.1M
Associated Pathologists, LLC	TN	Anatomic Pathology & Clinical Pathology Physician	$0	$61.2M
Associated Pathologists LLC	TN	Clinical Medical Laboratory	$2.7M	$27.8M
Connexus Incorporated	TN	In Home Supportive Care Agency	$0	$16.3M
Alternative Youth Services, Inc.	TN	Specialist	$0	$11.9M
Progress Inc.	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$11M
Divine Supports	TN	In Home Supportive Care Agency	$0	$9.4M
Mb1, LLC	TN	In Home Supportive Care Agency	$0	$9.1M
America Cares Trust, Inc	TN	Family Medicine Physician	$0	$9.1M
Nurturing Care Services, LLC	TN	Home Health Agency	$0	$7.9M

Centerstone Of Tennessee, Inc. — Billing Profile & Reimbursement Data

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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