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.

West Tennessee Healthcare Henry County (NPI 1497750244)

West Tennessee Healthcare Henry County is a general acute care hospital provider located in Paris, Tennessee. This profile covers 0 Medicare and 103 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	West Tennessee Healthcare Henry County
Address	301 Tyson Avenue
City	Paris
State	TN
ZIP	38242
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 17, 2005

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

103 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13,410	$110	$1.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	4,100	$200	$832.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,380	$80	$695.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	200	$1,130	$220.2K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	880	$230	$200.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,830	$50	$132.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	90	$1,450	$126.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	550	$210	$116.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,760	$30	$112.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	17,570	$1	$70.3K

Showing 1–10 of 103

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

West Tennessee Healthcare Henry County — 2 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

103 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	35	60	1,340	$50	$1.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	159	630	510	$120	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	84	610	570	$110	$884.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	301	570	640	$100	$637.8K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	102	230	2,130	$40	$616.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	28	50	140	$850	$541.1K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	9	20	1,060	$210	$535.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	31	70	160	$500	$421.5K
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	44	50	490	$50	$333.3K
G0378	Hospital observation service, per hour	68	100	410	$210	$264K

Showing 1–10 of 103

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carey Counseling Center, Inc.	TN	Mental Health Counselor	$0	$45.5M
Vcphcs Xx, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$253.6K	$2.6M
Wt Medical Associates	TN	Rural Health Clinic/Center	$0	$2.5M
Cutting Edge Therapy Services, LLC	TN	Hearing and Speech Clinic/Center	$0	$2.4M
Air Evac Ems, Inc.	TN	Air Ambulance	$1.2M	$668.8K
Air Evac Ems, Inc.	TN	Air Ambulance	$867.4K	$553.6K
Paul Koerner	TN	Radiation Oncology Physician	$933.6K	$100.9K
Van Dyck Asc, LLC	TN	Ambulatory Surgical Clinic/Center	$832.8K	$17.7K
Joe Mobley	TN	Specialist	$281.8K	$0
Joshua Coleman	TN	Optometrist	$121.2K	$110.3K

West Tennessee Healthcare Henry County — Billing Profile & Reimbursement Data

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West Tennessee Healthcare Henry County — 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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