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.

Care Rite PLLC (NPI 1477827418)

Care Rite PLLC is a family medicine physician provider located in Dyersburg, Tennessee. This profile covers 0 Medicare and 97 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	Care Rite PLLC
Address	1445 Us Highway 51 Byp E
City	Dyersburg
State	TN
ZIP	38024
Taxonomy	Family Medicine Physician
NPI Enumerated	March 7, 2012

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

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

97 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	39,330	$20	$865.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	46,950	$10	$563.4K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	16,460	$10	$214K
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…	11,860	$20	$213.4K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	10,830	$10	$129.9K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	2,540	$40	$91.6K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	4,800	$20	$91.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,280	$30	$59.3K
99492	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	1,310	$40	$56.3K
99494	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation whose conditions are not…	2,630	$20	$52.6K

Showing 1–10 of 97

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

Care Rite PLLC — 9 of 25 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

97 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	74	80	330	$170	$342.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	92	240	840	$20	$259.2K
90832	In 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…	185	300	480	$30	$221.2K
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…	76	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…	350	4,050	620	$30	$183.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	237	310	110	$70	$142.8K
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…	685	1,080	120	$80	$90.7K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	2	10	850	$50	$72.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	96	350	330	$30	$67.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	58	660	190	$60	$53.3K

Showing 1–10 of 97

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pankaj Srivastava	TN	Internal Medicine Physician	$246.1K	$107.1K
Angeli Jain	TN	Family Medicine Physician	$225.4K	$24.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T M Carr Md PC	TN	Emergency Medicine Physician	$0	$19.2M
Dyersburg Family Walk-in Clinic LLC	TN	Rural Health Clinic/Center	$0	$15.6M
Dyersburg Health	TN	Community/Retail Pharmacy	$0	$13.2M
C.h. Hughes	TN	Pediatric Dentistry	$0	$10.3M
Wt Medical Associates	TN	Rural Health Clinic/Center	$0	$5.5M
Wt Medical Associates	TN	Internal Medicine Physician	$0	$4.9M
Lifesafe Security Corporation	TN	Personal Emergency Response Attendant	$0	$4M
Bhg Xxxi, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$196.6K	$3.5M
Nichols Park Emergency Physicians LLC	TN	Emergency Medicine Physician	$0	$2.3M
Pediatric Associates Of West Tennessee PLLC	TN	Rural Health Clinic/Center	$0	$2.2M

Care Rite PLLC — Billing Profile & Reimbursement Data

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Care Rite PLLC — 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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