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.

Department Of Disability And Aging, Tennessee Early Intervention System (teis) (NPI 1437526597)

Field	Value
Entity Type	Organization
Organization	Department Of Disability And Aging, Tennessee Early Intervention System (teis)
Address	315 Deaderick St Fl 8
City	Nashville
State	TN
ZIP	37238
Taxonomy	Case Management Agency
NPI Enumerated	August 25, 2015

Payer Source	Total Paid
Medicaid	$117.9M
Medicare	$0

Key Findings

This provider is registered as a Case Management Agency in Nashville, TN and has been enumerated since 2015-08-25 (~11 years ago), indicating a multi-year presence in state program billing files and institutional familiarity with Medicaid administrative processes. The registration tenure supports the view that current patterns are established rather than transient.

Payer mix is effectively single-payer: there is no Medicare billing on file while total Medicaid revenue is $117.9M, so all recorded federal-program billing activity for this entity is Medicaid-driven rather than split across Medicare and Medicaid. This concentration makes Medicaid policy and rate changes especially material to the provider's financial profile.

Revenue is extremely concentrated in a single service line: the code T2023 (Targeted case management; per month) accounts for $117.9M in revenue and represents 100.0% of this provider's total Medicaid revenue. That line is supported by 201.2K claims at an average paid per claim of $586, showing the entire reported Medicaid stream is captured by recurring monthly case-management payments.

The mix of the single dominant code and the provider taxonomy (Case Management Agency) point to an operational focus on recurring, per‑month case management services—likely ongoing care coordination for targeted populations rather than episodic clinical procedures. The use of T2023 suggests the organization’s service model is built around sustained client caseloads and monthly billing rather than discrete, high‑cost interventions.

Competitive standing within Tennessee is notable but not dominant: the provider ranks #4 of 14 for T2023 (77th percentile) and the data label notes this is a "typical, unremarkable volume for this code." This indicates a strong in‑state presence for targeted case management but not an outlier level of volume or market dominance among peers.

Operational scale is substantial in absolute claims terms—201.2K claims implies a high-volume, administrative billing operation handling repeat monthly encounters—and the $586 average paid/claim reflects the economics of per‑month case management rather than short, low-value encounters. Together these figures suggest significant back-office capacity to manage enrollment, authorizations, and recurring billing cycles.

Because 100.0% of Medicaid revenue is tied to T2023, the provider faces concentration risk: changes in T2023 reimbursement rates, eligibility criteria, or program policy could materially affect total reported revenue. Analysts should treat shifts in utilization or payment for T2023 as direct proxies for near‑term revenue impact, since there is little apparent diversification into other Medicaid codes.

The combination of long tenure (~11 years), large cumulative Medicaid revenue ($117.9M), and single-code dominance implies a specialized, stable operation anchored in targeted case management. Continued monitoring of in‑state rank, claim counts (201.2K), and average paid/claim ($586) will capture meaningful changes in market position or program responsiveness without needing Medicare data, which is not available for this provider.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	201,190	$590	$117.9M

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

Department Of Disability And Aging, Tennessee Early Intervention System (teis) — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	4	10	11,790	$410	$75.3M

Department Of Disability And Aging, Tennessee Early Intervention System (teis) — Billing Profile & Reimbursement Data

Sign up for Department Of Disability And Aging, Tennessee Early Intervention System (teis) — Billing Profile & Reimbursement Data policy alerts

Department Of Disability And Aging, Tennessee Early Intervention System (teis) — Billing Profile & Reimbursement Data

Sign up for Department Of Disability And Aging, Tennessee Early Intervention System (teis) — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References