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    OpenPayerNPI Medicare & MedicaidParkridge Medical Center, Inc.
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    Parkridge Medical Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1558319863 · Chattanooga, TN · Psychiatric Hospital Unit

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    Parkridge Medical Center, Inc. is a psychiatric hospital unit provider located in Chattanooga, Tennessee. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationParkridge Medical Center, Inc.
    Address2200 Morris Hill Rd
    CityChattanooga
    StateTN
    ZIP37421
    TaxonomyPsychiatric Hospital Unit
    NPI EnumeratedMay 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$52.8M
    Medicare$0

    Key Findings

    PARKRIDGE MEDICAL CENTER, INC. reports no Medicare billing on file and therefore operates, for the observed data, as effectively a single-payer Medicaid provider with total Medicaid revenue of $52.8M. The absence of Medicare revenue concentrates financial exposure and reimbursement strategy on Medicaid programs and their per-diem/waiver arrangements rather than fee-for-service Medicare lines.

    Revenue is extremely concentrated in a small set of residential behavioral-health codes: the precomputed top three Medicaid codes account for 99.9% of the provider's Medicaid revenue, with T2048 contributing $36.5M (69.0%) and T2016 contributing $15.5M (29.2%). This concentration indicates that nearly all billed Medicaid dollars derive from long-term residential and habilitation per-diem services rather than high-volume, low-dollar outpatient procedures.

    The service mix implied by the dominant codes is residential psychiatric care and habilitation: T2048 (Behavioral health; long-term care residential with room and board, per diem) and T2016 (Habilitation, residential, waiver; per diem) together account for the bulk of activity and have high average paid-per-claim amounts ($16370 and $11068 respectively). Those avg paid/claim levels and per-diem code structures are consistent with operating a non-acute, long-stay residential treatment program rather than an acute inpatient psychiatric hospital or outpatient clinic model.

    Competitive standing on T2048 is relatively strong within Tennessee: the provider ranks #3 of 13 in-state and sits in the 83rd percentile, which suggests it is a meaningful provider of long-term residential behavioral-health per-diem services but not the statewide leader. The supplied characterization for this code is "typical, unremarkable volume for this code," so the position should be read as a solid regional placement rather than an extreme outlier.

    By contrast, the provider's rank on T2016 is more modest: it ranks #28 of 45 providers in-state (39th percentile), and the dataset labels this as "typical, unremarkable volume for this code." This implies the provider participates in habilitation residential waiver billing but is not a top-tier in-state volume leader for that specific waiver service.

    The provider also files substantial claim volume for group psychotherapy under 90853 (10.2K claims) but that code represents only $859.3K (1.6% of Medicaid revenue) and is characterized as "typical, unremarkable volume for this code." The combination of high claim count with low average paid/claim ($84) indicates group therapy is a prominent care activity operationally, but it is a small contributor to total Medicaid revenue relative to per-diem residential payments.

    Other Medicaid codes appear immaterial to overall revenue: G0410 ($61.6K; 0.1% of revenue) ranks #2 of 5 (75th percentile) and G0177 ($512; essentially 0.0% of revenue) ranks #2 of 2 (0th percentile), both described as "typical, unremarkable volume for this code." These entries confirm that non-residential service lines and training/education sessions do not drive the provider's financial profile.

    The NPI enumeration date is 2006-05-05 (~20 years ago), indicating an established presence in the market; combined with the concentrated Medicaid revenue and per-diem billing model, this suggests a mature, residential-focused psychiatric provider with stable Medicaid-centered operations rather than a diversified payer mix or outpatient-dominant business line.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem2,230$16,370$36.5M
    T2016Habilitation, residential, waiver; per diem1,400$11,070$15.5M
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…10,230$80$859.3K
    G0410Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes930$70$61.6K
    G0177Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)510$1$510

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem310770$9,920$22M
    T2016Habilitation, residential, waiver; per diem28502,620$430$11.9M
    G0410Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes210770$60$56.7K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…8110510$20$43.4K
    G0177Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)210540$1$260

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Parkridge Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkridge Medical Center, Inc.TNGeneral Acute Care Hospital$0$26.8M
    Parkridge Medical Center, Inc.TNGeneral Acute Care Hospital$0$12.8M

    Nearby Providers

    Other providers in the same ZIP code as Parkridge Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dx Mso, PLLCTNUrgent Care Clinic/Center$0$13.3M
    Independent Physical Therapy, LLCTNPhysical Therapist$0$12.3M
    Comprehensive Medical Care, P.C.TNPediatrics Physician$0$12M
    Chattanooga Allergy Clinic , PLLCTNAllergy & Immunology Physician$0$9M
    Hospice Of Chattanooga Holdings, LLCTNCommunity Based Hospice Care Agency$0$5.3M
    Advanced Respiratory, Inc.TNDurable Medical Equipment & Medical Supplies$0$4.6M
    Allied Pediatrics PLLCTNPediatrics Physician$0$4.2M
    Restoration Recovery, PLLCTNAddiction Medicine (Preventive Medicine) Physician$0$4.1M
    Southeast Eye Specialists PLLCTNOphthalmology Physician$0$3.8M
    Hamilton County Department Of EducationTNLocal Education Agency (LEA)$0$3.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Tennessee Providers
    6 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Parkridge Medical Center, Inc. — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee