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.

The Cornerstone Of Recovery, Inc. (NPI 1558479758)

Field	Value
Entity Type	Organization
Organization	The Cornerstone Of Recovery, Inc.
Address	4718 Alcoa Hwy
City	Louisville
State	TN
ZIP	37777
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	August 28, 2006

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	25,470	$180	$4.5M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8,190	$90	$770.2K
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	1,680	$180	$305.8K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	450	$190	$87.5K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	2,070	$40	$82.7K
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…	520	$70	$35.6K
H0033	Oral medication administration, direct observation	190	$160	$30.6K
90832	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…	880	$30	$26.3K
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…	220	$70	$15.2K
H0014	Alcohol and/or drug services; ambulatory detoxification	50	$260	$13.8K

Showing 1–10 of 17

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

The Cornerstone Of Recovery, Inc. — 1 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	4	20	3,220	$130	$2.9M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	3	10	3,100	$250	$2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	13	30	3,390	$90	$1.3M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	74	130	620	$200	$655.5K
H0014	Alcohol and/or drug services; ambulatory detoxification	68	80	250	$250	$405.4K
H0033	Oral medication administration, direct observation	59	100	340	$150	$306.9K
90832	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…	110	300	480	$30	$221.2K
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…	3,630	4,050	620	$30	$183.9K
99204	The provider sees a new 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 provider…	603	1,080	120	$80	$90.7K
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…	80	200	130	$60	$86.5K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as The Cornerstone Of Recovery, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kci Usa, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$5M
Brenda Muzyngo	TN	Family Nurse Practitioner	$102.2K	$0
Darrel Hull	TN	Family Nurse Practitioner	$20.4K	$0

The Cornerstone Of Recovery, Inc. — Billing Profile & Reimbursement Data

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The Cornerstone Of Recovery, Inc. — 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