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.

Mountain Wings; LLC (NPI 1467753103)

Field	Value
Entity Type	Organization
Organization	Mountain Wings; LLC
Address	321 Old Gray Station Rd
City	Gray
State	TN
ZIP	37615
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 11, 2010

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	19,980	$100	$2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	13,700	$70	$931.6K
S5150	Unskilled respite care, not hospice; per 15 minutes	1,170	$40	$43.4K

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

Mountain Wings; LLC — 0 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	73	160	18,880	$110	$3.9M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	93	210	10,880	$90	$3.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	57	110	1,370	$60	$264K

Nearby Providers

Other providers in the same ZIP code as Mountain Wings; LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frontier Health	TN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$105.1M
State Of Franklin Healthcare Associates PLLC	TN	Internal Medicine Physician	$0	$23.2M
A Heavenly Sonshine Service Co	TN	In Home Supportive Care Agency	$0	$6.3M
Breakthrough Medical Clinic Of Tennessee Inc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.8M
Enhanced Support Services	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$3.8M
East Tennessee Healthcare Holdings Inc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$163.7K	$3.3M
Matthew Grimm	TN	Family Nurse Practitioner	$301.9K	$0
Fay Bembry	TN	Psychiatric/Mental Health Nurse Practitioner	$207K	$57.1K
Stuart Leicht	TN	Dermatology Physician	$178.8K	$710
Tiffany Yandell	TN	Family Nurse Practitioner	$115.4K	$0

Mountain Wings; LLC — Billing Profile & Reimbursement Data

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Mountain Wings; LLC — Billing Profile & Reimbursement Data

Sign up for Mountain Wings; LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References