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.

Consumer Direct For Tennessee, LLC (NPI 1518232859)

Field	Value
Entity Type	Organization
Organization	Consumer Direct For Tennessee, LLC
Address	2 Vantage Way
City	Nashville
State	TN
ZIP	37228
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 20, 2012

Payer Source	Total Paid
Medicaid	$126M
Medicare	$0

Key Findings

CONSUMER DIRECT FOR TENNESSEE, LLC is effectively a single-payer Medicaid operator: it reports no Medicare billing on file and $126M in lifetime Medicaid revenue, indicating its scale and business model are focused on state Medicaid programs rather than Medicare business. The NPI was enumerated on 2012-03-20 (~14 years ago), so this entity has an established presence in the Tennessee Medicaid market.

Revenue is extremely concentrated in a very small set of service codes: the top 3 Medicaid codes (T1019, S5125, S5150) account for 95.7% of this provider's total Medicaid revenue. Specifically those top codes are T1019 ($67.3M, 53.4%), S5125 ($48.9M, 38.8%), and S5150 ($4.4M, 3.5%), showing the business derives the vast majority of income from a narrow set of personal/attendant care services.

The code mix signals a time-based, in-home personal care operation: T1019 (Personal care services, per 15 minutes), S5125 (Attendant care services; per 15 minutes), and S5150 (Unskilled respite care; per 15 minutes) dominate revenue, with additional per-diem companion care (S5136) and non-emergency transportation (T2003/T2002) as secondary lines. This pattern suggests high-frequency, short-interval visits and shift-based caregiver delivery rather than high-acuity clinical services, which has implications for workforce scheduling, visit coordination, and claims processing capacity.

CONSUMER DIRECT is a dominant statewide player for attendant care and respite in Tennessee: S5125 ranks #1 of 155 providers in-state (100th percentile; extreme outlier, far above typical state volume) and S5150 ranks #1 of 105 providers in-state (100th percentile; extreme outlier). Those rankings indicate market leadership in attendant and respite services and that the provider captures an outsized share of in-state volume for these service types.

T1019 is also an outsized performer: with 585.4K claims and $67.3M revenue it ranks #3 of 208 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). While not the single top-ranked provider for T1019, the combination of high claim volume and a top-tier state rank signals this organization is among the largest personal-care claimants in Tennessee.

Top-code operational metrics underline the business model: T1019 shows 585.4K claims at $115 avg paid/claim, S5125 shows 407.8K claims at $120 avg paid/claim, and S5150 shows 60.7K claims at $73 avg paid/claim. These high claim counts with modest per-claim payments are consistent with many short-duration service events and imply heavy administrative throughput for scheduling, time tracking, and billing.

Other service lines are present but modest: S5136 (Companion care, per diem) generated $4.1M (3.2% of Medicaid revenue) and ranks #3 of 3 providers in-state (0th percentile; typical, unremarkable volume), while T2003 and T2002 (non-emergency transportation) together account for a small share of revenue ($1.3M and $26.1K respectively) and show typical, unremarkable state volumes. This indicates limited diversification outside core attendant/personal-care offerings.

The extreme concentration in a handful of time-based care codes creates exposure to reimbursement, policy, or programmatic changes targeting those service categories; given the provider’s state-level dominance on key codes, monitoring state policy, rate updates, and competitive entry for T1019 and S5125 should be a priority for payer and provider analysts. The combination of longevity (~14 years) and concentrated service mix suggests operational expertise in Medicaid personal/attendant care, but also a single-market dependency that could amplify the impact of any regulatory or payment shifts.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	585,420	$120	$67.3M
S5125	Attendant care services; per 15 minutes	407,790	$120	$48.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	60,720	$70	$4.4M
S5136	Companion care, adult (e.g., iadl/adl); per diem	29,830	$140	$4.1M
T2003	Non-emergency transportation; encounter/trip	7,980	$160	$1.3M
T2002	Non-emergency transportation; per diem	3,730	$10	$26.1K

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

Consumer Direct For Tennessee, LLC — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	3	10	37,590	$260	$12.1M
S5125	Attendant care services; per 15 minutes	1	160	18,880	$110	$3.9M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3	210	10,880	$90	$3.7M
T2003	Non-emergency transportation; encounter/trip	3	10	5,700	$10	$301.1K
S5150	Unskilled respite care, not hospice; per 15 minutes	1	110	1,370	$60	$264K
T2002	Non-emergency transportation; per diem	6	20	2,260	$10	$230.6K

Nearby Providers

Other providers in the same ZIP code as Consumer Direct For Tennessee, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mental Health Cooperative, Inc	TN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$363.2M
Aegis Sciences Corporation	TN	Clinical Medical Laboratory	$34.5M	$193.8M
Privia Medical Group Tennessee LLC	TN	Family Medicine Physician	$0	$5M
Opry Medical Group LLC	TN	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Katherine Bhadra	TN	Family Nurse Practitioner	$219.4K	$3.9K
Debra Dooley	TN	Family Nurse Practitioner	$169.6K	$0
Aida Valencia	TN	Anatomic Pathology & Clinical Pathology Physician	$56.1K	$0
Delaney Mills	TN	Acute Care Nurse Practitioner	$47.6K	$0
Melissa May	TN	Gerontology Nurse Practitioner	$37.4K	$0
Dena Wampler	TN	Psychiatric/Mental Health Nurse Practitioner	$14.7K	$0

Consumer Direct For Tennessee, LLC — Billing Profile & Reimbursement Data

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Consumer Direct For Tennessee, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References