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    v1.0.28
    OpenPayerNPI Medicare & MedicaidOmni Community Health
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    Omni Community Health — Billing Profile & Reimbursement Data

    NPI 1437125416 · Nashville, TN · Social Worker

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    Omni Community Health is a social worker provider located in Nashville, Tennessee. This profile covers 0 Medicare and 29 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
    OrganizationOmni Community Health
    Address145 Thompson Lane
    CityNashville
    StateTN
    ZIP37211
    TaxonomySocial Worker
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$18.2M
    Medicare$0

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S0280Medical home program, comprehensive care coordination and planning, initial plan61,660$150$9M
    H0043Supported housing, per diem58,060$60$3.7M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes2,040$1,480$3M
    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…26,720$40$961.9K
    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…23,090$30$600.3K
    T1041Medicaid certified community behavioral health clinic services, per month60$4,750$275.3K
    H0037Community psychiatric supportive treatment program, per diem2,040$100$207.9K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.3,240$60$181.7K
    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…1,990$40$69.6K
    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…2,350$30$61K

    Showing 1–10 of 29

    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

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S0280Medical home program, comprehensive care coordination and planning, initial plan174022,180$140$21.3M
    H0037Community psychiatric supportive treatment program, per diem132020,260$150$19.4M
    H0043Supported housing, per diem122069,350$180$18.6M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes7102,040$430$7.7M
    G9002Coordinated care fee, maintenance rate91013,140$80$3.5M
    T1041Medicaid certified community behavioral health clinic services, per month210400$4,680$1.9M
    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…18360350$50$414.4K
    90837In 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…292440530$70$282.3K
    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…63300480$30$221.2K
    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…1,1203,760610$40$202.3K

    Showing 1–10 of 29

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Omni Community Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Omni Community Health, Inc.TNCommunity/Behavioral Health Agency$0$77.7M
    Travis RichardsonTNClinical Cardiac Electrophysiology Physician$162.8K$0
    Valorie MarlowKYPsychiatric/Mental Health Nurse Practitioner$89.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Omni Community Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Omni Visions, Inc.TNFoster Care Agency$0$133.3M
    D&s Residential Services, LPTNIn Home Supportive Care Agency$0$77.7M
    Cg Of Tennessee, LLCTNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$63.5M
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$27.5M
    Nashville Pediatric Providers, LLCTNPediatric Nurse Practitioner$0$20M
    Smile Center For ChildrenTNPediatric Dentistry$0$9.6M
    Option Care Infusion Services, LLCTNHome Infusion Therapy Pharmacy$0$8.9M
    Pediatric Partners Of Nashville, PLLCTNPediatrics Physician$0$5.7M
    Lifecare HeritageTNAdult Day Care Clinic/Center$0$4.8M
    Oxygen And Sleep Associates, Inc.TNOxygen Equipment & Supplies (DME)$0$4.3M

    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
    3 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Omni Community Health — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee