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.

Evergreen Presbyterian Ministries Of East Tn (NPI 1508984972)

Field	Value
Entity Type	Organization
Organization	Evergreen Presbyterian Ministries Of East Tn
Address	1304 Wilson Rd
City	Knoxville
State	TN
ZIP	37912
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2,780	$510	$1.4M
S5145	Foster care, therapeutic, child; per diem	690	$730	$503K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	110	$3,580	$376.1K
T2021	Day habilitation, waiver; per 15 minutes	2,350	$110	$251.9K
T2012	Habilitation, educational; waiver, per diem	1,490	$130	$199.1K

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

Evergreen Presbyterian Ministries Of East Tn — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	69	100	4,520	$320	$31.6M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	14	20	1,590	$1,740	$16.5M
T2012	Habilitation, educational; waiver, per diem	12	10	3,640	$180	$13.3M
T2021	Day habilitation, waiver; per 15 minutes	73	100	3,920	$80	$3.4M
S5145	Foster care, therapeutic, child; per diem	15	20	1,370	$590	$1.5M

Nearby Providers

Other providers in the same ZIP code as Evergreen Presbyterian Ministries Of East Tn, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoals Ambulance LLC	TN	Land Ambulance	$11.1M	$17.4M
University Health System, Inc	TN	Pediatrics Physician	$0	$16.8M
Wellness Ambulatory Care Inc.	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.8M
Sunrise Community Of Tennessee, Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Stanley Park	TN	Pediatrics Physician	$0	$2.7M
David Velarde	TN	Foot Surgery Podiatrist	$45.7K	$0

Evergreen Presbyterian Ministries Of East Tn — Billing Profile & Reimbursement Data

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Evergreen Presbyterian Ministries Of East Tn — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References