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.

Tnmo Healthcare, LLC (NPI 1407807688)

Field	Value
Entity Type	Organization
Organization	Tnmo Healthcare, LLC
Address	7135 Charlotte Pike Ste 200
City	Nashville
State	TN
ZIP	37209
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	May 13, 2006

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	22,370	$180	$4M
T2046	Hospice long term care, room and board only; per diem	10,190	$160	$1.7M
Q5001	Hospice or home health care provided in patient's home/residence	150	$130	$19.1K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	120	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	110	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	410	$0	$0

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

Tnmo Healthcare, LLC — 1 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	3	10	5,660	$150	$1.2M
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	1	20	2,330	$230	$1.1M
Q5001	Hospice or home health care provided in patient's home/residence	11	20	130	$110	$153K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	4	10	50	$60	$35.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	19	50	200	$30	$23.5K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	6	10	160	$0	$0

Nearby Providers

Other providers in the same ZIP code as Tnmo Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oral Facial Surgery Center, LLC	TN	Ambulatory Surgical Clinic/Center	$202.4K	$5.8M
Tennessee Orthopaedic Alliance PA	TN	Orthopaedic Surgery Physician	$0	$5.6M
Nephrology Associates, PC	TN	Nephrology Physician	$0	$3.4M
Urology Surgery Center LP	TN	Ambulatory Surgical Clinic/Center	$2.9M	$0
Gautam Jayram	TN	Urology Physician	$340.5K	$0
Marcy Abel	TN	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$311.6K	$0
Edward Mackey	TN	Orthopaedic Surgery Physician	$291.4K	$0
Philip Karpos	TN	Orthopaedic Surgery Physician	$251.4K	$0
Jane Siegel	TN	Orthopaedic Hand Surgery Physician	$240.5K	$0
William Carpenter	TN	Adult Reconstructive Orthopaedic Surgery Physician	$218.1K	$0

Tnmo Healthcare, LLC — Billing Profile & Reimbursement Data

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Tnmo Healthcare, 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

Nearby Providers

Frequently Asked Questions

References