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    OpenPayerNPI Medicare & MedicaidImpact Healthcare, PLLC
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    Impact Healthcare, PLLC — Billing Profile & Reimbursement Data

    NPI 1487185153 · Jackson, TN · Addiction Medicine (Family Medicine) Physician

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    Impact Healthcare, PLLC is a addiction medicine (family medicine) physician provider located in Jackson, Tennessee. This profile covers 0 Medicare and 33 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
    OrganizationImpact Healthcare, PLLC
    Address37 Sandstone Cir
    CityJackson
    StateTN
    ZIP38305
    TaxonomyAddiction Medicine (Family Medicine) Physician
    NPI EnumeratedMarch 24, 2017

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

    Payer SourceTotal Paid
    Medicaid$10.1M
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0016Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)34,010$190$6.6M
    H0033Oral medication administration, direct observation5,230$150$773.9K
    H0047Alcohol and/or other drug abuse services, not otherwise specified2,050$360$741.1K
    99484Clinical 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…19,550$20$469.3K
    H0014Alcohol and/or drug services; ambulatory detoxification1,920$230$434.4K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…47,890$10$239.4K
    H0049Alcohol and/or drug screening11,380$20$182.1K
    G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month5,550$30$161K
    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…10,560$20$158.4K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3,130$40$128.4K

    Showing 1–10 of 33

    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

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…5360430$50$1M
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1660840$60$705.4K
    H0016Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)3130620$200$655.5K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…2270180$60$589.9K
    H0014Alcohol and/or drug services; ambulatory detoxification1880250$250$405.4K
    H0033Oral medication administration, direct observation9100340$150$306.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.199240840$20$259.2K
    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…146300480$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…3063,760610$40$202.3K
    H0047Alcohol and/or other drug abuse services, not otherwise specified340440$250$190.5K

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Impact Healthcare, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alice MckeeTNFamily Medicine Physician$51K$110.7K
    Billy DavisALAddiction Medicine (Family Medicine) Physician$65.8K$0
    Deborah GrossMSAddiction Medicine (Psychiatry & Neurology) Physician$37.4K$0
    Ryane DotyMSPsychiatric/Mental Health Nurse Practitioner$30.2K$0
    Ann StillALAddiction Medicine (Anesthesiology) Physician$23K$0
    Allan RoweMSClinical Social Worker$8.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Impact Healthcare, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Staffco Of Southwest Tn, LLC. Dba At Home Healthcare Of Southwest TnTNIn Home Supportive Care Agency$0$32.3M
    Madison Haywood County Developmental Services, IncTNDevelopmentally Disabled Services Day Training Agency$0$23M
    Loving Arms, LLCTNHome Health Agency$0$13.3M
    Encare, LLC.TNIn Home Supportive Care Agency$0$9.1M
    George M Short Dds Ms PCTNPediatric Dentistry$0$8.7M
    Jackson Clinic PATNInternal Medicine Physician$0$7.9M
    Family Care Walk In Clinic, Inc.TNFamily Medicine Physician$0$6.2M
    Jackson Radiology Associates PATNDiagnostic Radiology Physician$0$4.4M
    Therapy & Learning Center IncTNRehabilitation Clinic/Center$0$4.2M
    Jackson Ophthalmology Asc LLCTNAmbulatory Surgical Clinic/Center$3.1M$20.7K

    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
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Impact Healthcare, PLLC — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee