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.

Murfreesboro Medical Clinic, P.A. (NPI 1487604609)

Murfreesboro Medical Clinic, P.A. is a specialist provider located in Murfreesboro, Tennessee. This profile covers 0 Medicare and 133 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	Murfreesboro Medical Clinic, P.A.
Address	1272 Garrison Dr
City	Murfreesboro
State	TN
ZIP	37129
Taxonomy	Specialist
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

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

133 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	144,880	$40	$5.2M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	61,090	$50	$3.1M
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…	57,110	$40	$2.5M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	27,630	$70	$1.9M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	28,050	$60	$1.7M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,400	$70	$843.3K
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,…	20,260	$30	$668.5K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	11,900	$40	$499.6K
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…	4,340	$80	$330K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	29,620	$10	$325.8K

Showing 1–10 of 133

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

Murfreesboro Medical Clinic, P.A. — 13 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

133 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	34	50	140	$850	$541.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	32	70	160	$500	$421.5K
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.	39	80	330	$170	$342.3K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	50	60	110	$130	$236.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	12	610	1,220	$40	$206K
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…	52	3,760	610	$40	$202.3K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	17	70	130	$140	$193.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8	520	470	$70	$187K
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…	18	4,050	620	$30	$183.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	480	580	$60	$174.8K

Showing 1–10 of 133

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Murfreesboro Medical Clinic, P.A.	TN	Specialist	$1.3M	$195.9K
Asim Razzaq	TN	Rheumatology Physician	$789.2K	$0
Marcus Owen	TN	Rheumatology Physician	$710.9K	$0
Joshua Tennenbaum	TN	Anatomic Pathology & Clinical Pathology Physician	$508.9K	$0
Justin Poling	TN	Anatomic Pathology & Clinical Pathology Physician	$499.5K	$170
Austin Mackens	TN	Family Medicine Physician	$211.2K	$141.8K
Andrew Fong	TN	Diagnostic Radiology Physician	$341.4K	$0
Sadhish Siva	TN	Specialist	$315K	$0
Ryan Drumright	TN	Ophthalmology Physician	$297.5K	$11K
Albert Kattine	TN	Dermatology Physician	$282.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Volunteer Behavioral Health Care System	TN	Counselor	$0	$168M
Twelvestone Medical, Inc.	TN	Home Infusion Therapy Pharmacy	$0	$52.7M
Crossroads Urgent Care PLLC	TN	Family Medicine Physician	$0	$21.6M
Jones Therapy Services LLC	TN	Pediatric Rehabilitation Medicine Physician	$0	$19.3M
Saint Thomas Rutherford Hospital	TN	General Acute Care Hospital	$0	$16.2M
Charis Hearts Inc.	TN	Home Health Agency	$0	$8.2M
Gateway Healthcare, PC	TN	Urgent Care Clinic/Center	$0	$3.9M
Duratech Medical, Inc.	TN	Prosthetic/Orthotic Supplier	$0	$3.3M
Trustpoint Hospital LLC	TN	Psychiatry Physician	$0	$3.2M
Hometown Respiratory Consultants LLC	TN	Oxygen Equipment & Supplies (DME)	$0	$3.1M

Murfreesboro Medical Clinic, P.A. — Billing Profile & Reimbursement Data

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Murfreesboro Medical Clinic, P.A. — 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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