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.

Medical Center Anesthesia Inc. (NPI 1447591730)

Medical Center Anesthesia Inc. is a anesthesiology physician provider located in Jackson, Tennessee. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Medical Center Anesthesia Inc.
Address	620 Skyline Dr
City	Jackson
State	TN
ZIP	38301
Taxonomy	Anesthesiology Physician
NPI Enumerated	March 12, 2013

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	7,190	$280	$2M
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	1,170	$130	$153.5K
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…	3,320	$30	$82.9K
99204	The provider sees a new 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 provider…	750	$50	$40.4K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	950	$40	$39.1K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	440	$60	$25.7K
01961	The provider performs anesthesia services for a cesarean delivery.	120	$180	$22K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	360	$30	$12.2K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	50	$140	$6.4K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	390	$20	$6.2K

Showing 1–10 of 20

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

Medical Center Anesthesia Inc. — 2 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	2	50	110	$350	$470.6K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	12	60	110	$130	$236.7K
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…	794	3,760	610	$40	$202.3K
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…	2,706	4,050	620	$30	$183.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	121	160	110	$90	$96K
99204	The provider sees a new 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 provider…	195	1,080	120	$80	$90.7K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	25	60	150	$80	$57.9K
01961	The provider performs anesthesia services for a cesarean delivery.	7	10	120	$180	$51.9K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	12	50	120	$110	$42.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	10	60	170	$60	$31.8K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Seely	TN	Interventional Pain Medicine Physician	$409K	$0
Matthew Fabian	TN	Anesthesiology Physician	$68.1K	$0
Obinna Orji	IL	Anesthesiology Physician	$27.3K	$35.3K
Ray Lee	WA	Anesthesiology Physician	$48K	$0
Sandra Weaver	TN	Certified Registered Nurse Anesthetist	$42.3K	$0
Gilbert Chidiac	FL	Anesthesiology Physician	$39.6K	$0
Anthony Fondren	TN	Certified Registered Nurse Anesthetist	$34.4K	$0
Patrick Clark	TN	Anesthesiology Physician	$22.3K	$0
Casey White	TN	Certified Registered Nurse Anesthetist	$21K	$0
Ty Weller	NV	Anesthesiology Physician	$18.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Madison County General Hospital	TN	General Acute Care Hospital	$0	$46.6M
Pathways Of Tennessee, Inc.	TN	Clinic/Center	$0	$30.6M
Emergency Medical Care Facilities PC	TN	Emergency Medicine Physician	$0	$19.7M
A Plus Care Solutions Incorporated	TN	In Home Supportive Care Agency	$0	$18.4M
Jackson-madison County General Hospital	TN	Land Ambulance	$5.1M	$13M
Mid-south Perinatal Associates PC	TN	Maternal & Fetal Medicine Physician	$0	$11.6M
West Tennessee Medical Group Inc	TN	Internal Medicine Physician	$0	$8.2M
Wt University Medical Associates Inc	TN	Family Medicine Physician	$0	$7.5M
Jackson-madison County General Hospital	TN	Community/Retail Pharmacy	$0	$7.4M
Shavetta Conner	TN	Public Health & General Preventive Medicine Physician	$8.1K	$4.9M

Medical Center Anesthesia Inc. — Billing Profile & Reimbursement Data

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Medical Center Anesthesia Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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