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.

Emergency Medical Care Facilities PC (NPI 1538345855)

Field	Value
Entity Type	Organization
Organization	Emergency Medical Care Facilities PC
Address	620 Skyline Dr
City	Jackson
State	TN
ZIP	38301
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 16, 2008

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	189,080	$50	$10.2M
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.	114,310	$60	$6.7M
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.	59,830	$40	$2.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5,030	$70	$341.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	52,410	$1	$157.2K
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.	140	$20	$3.1K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	50	$40	$1.7K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	30	$10	$140
G9744	Patient not eligible due to active diagnosis of hypertension	3,490	$0	$0

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

Emergency Medical Care Facilities PC — 4 of 8 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	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.	21	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.	7	570	640	$100	$637.8K
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.	130	180	480	$90	$245.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	11	160	110	$90	$96K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	11	410	400	$1	$22.1K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	18	20	80	$40	$7.4K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6	20	40	$30	$2.1K
G9744	Patient not eligible due to active diagnosis of hypertension	5	50	90	$1	$1

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Medical Care Facilities PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deline Kirubanathan	TN	Family Medicine Physician	$270.1K	$0
Vaishali Patel	KY	Family Medicine Physician	$143.5K	$23.1K
Martinson Ansah	WV	Internal Medicine Physician	$104.8K	$16.1K
Kelsey Wilson	SC	Family Medicine Physician	$119.9K	$0
Luis Pagoaga	TN	Family Medicine Physician	$118.1K	$0
Travis Albright	GA	Family Medicine Physician	$104.4K	$0
Brandon Chappell	KY	Family Medicine Physician	$76.4K	$0
Tony Bullon	GA	Adult Medicine Physician	$75K	$0
Colton Moore	TN	Family Medicine Physician	$68.9K	$0
Bader Kashlan	GA	Family Medicine Physician	$66.7K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Medical Care Facilities PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Madison County General Hospital	TN	General Acute Care Hospital	$0	$46.6M
Pathways Of Tennessee, Inc.	TN	Clinic/Center	$0	$30.6M
A Plus Care Solutions Incorporated	TN	In Home Supportive Care Agency	$0	$18.4M
Jackson-madison County General Hospital	TN	Land Ambulance	$5.1M	$13M
Mid-south Perinatal Associates PC	TN	Maternal & Fetal Medicine Physician	$0	$11.6M
West Tennessee Medical Group Inc	TN	Internal Medicine Physician	$0	$8.2M
Wt University Medical Associates Inc	TN	Family Medicine Physician	$0	$7.5M
Jackson-madison County General Hospital	TN	Community/Retail Pharmacy	$0	$7.4M
Shavetta Conner	TN	Public Health & General Preventive Medicine Physician	$8.1K	$4.9M
West Tennessee Healthcare Hospitalists Inc	TN	Hospitalist Physician	$0	$4.3M

Emergency Medical Care Facilities PC — Billing Profile & Reimbursement Data

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Emergency Medical Care Facilities PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References