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.

Healthquest PC (NPI 1548229131)

Healthquest PC is a psychiatry physician provider located in Cordova, Tennessee. This profile covers 0 Medicare and 22 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	Healthquest PC
Address	8130 Country Village Dr Ste 102
City	Cordova
State	TN
ZIP	38016
Taxonomy	Psychiatry Physician
NPI Enumerated	March 21, 2006

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	52,060	$30	$1.5M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	41,910	$10	$377.2K
S9480	Intensive outpatient psychiatric services, per diem	3,930	$80	$310.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4,210	$70	$282.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,070	$30	$157.3K
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…	5,320	$30	$154.4K
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	19,710	$10	$98.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,680	$40	$63.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3,110	$20	$49.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,050	$50	$47.4K

Showing 1–10 of 22

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

Healthquest PC — 5 of 20 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	3	10	1,060	$40	$948.8K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	79	130	620	$200	$655.5K
S9480	Intensive outpatient psychiatric services, per diem	4	10	3,210	$120	$524.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	117	360	350	$50	$414.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	118	440	530	$70	$282.3K
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…	59	3,760	610	$40	$202.3K
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…	659	4,050	620	$30	$183.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	115	310	110	$70	$142.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	15	200	130	$60	$86.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19	840	440	$20	$73K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tejinder Saini	TN	Psychiatry Physician	$402K	$65.7K
Victoria Carroll	TN	Psychiatric/Mental Health Nurse Practitioner	$26.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bioventus LLC	TN	Durable Medical Equipment & Medical Supplies	$0	$34.5M
Resource One Medical Staffing	TN	Nursing Care Agency	$0	$13.4M
Vinall & Smith Pediatric Dentistry	TN	Pediatric Dentistry	$0	$3M
Cordova Pediatrics PLLC	TN	Pediatrics Physician	$0	$2.9M
Michael Smith	TN	Physical Therapist	$413.3K	$0
Jeffrey Hall	TN	Pain Medicine (Anesthesiology) Physician	$216.5K	$0
Chad Webster	TN	Foot & Ankle Surgery Podiatrist	$188.3K	$9K
Ted Butterfield	TN	Foot & Ankle Surgery Podiatrist	$135.6K	$0
Rebecca Jones	TN	Family Nurse Practitioner	$117.1K	$0
Julie Webster	TN	Foot & Ankle Surgery Podiatrist	$90.5K	$0

Healthquest PC — Billing Profile & Reimbursement Data

Sign up for Healthquest PC — Billing Profile & Reimbursement Data policy alerts

Healthquest PC — Billing Profile & Reimbursement Data

Sign up for Healthquest PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References