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.

Dickson Medical Associates PC (NPI 1568464873)

Dickson Medical Associates PC is a family medicine physician provider located in Dickson, Tennessee. This profile covers 0 Medicare and 208 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	Dickson Medical Associates PC
Address	113 Highway 70 E
City	Dickson
State	TN
ZIP	37055
Taxonomy	Family Medicine Physician
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

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

208 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	93,090	$30	$3.1M
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…	60,720	$40	$2.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,090	$70	$590.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,420	$60	$538.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7,970	$50	$406.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	7,380	$40	$324.9K
0241U	N/A	2,290	$130	$304.8K
99203	The provider sees a new 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 provider…	5,250	$50	$283.4K
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…	3,330	$70	$239.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	12,280	$20	$221K

Showing 1–10 of 208

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

Dickson Medical Associates PC — 8 of 25 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

208 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	46	50	140	$850	$541.1K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	56	100	400	$60	$524.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	54	70	160	$500	$421.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	103	340	1,400	$40	$354.2K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	60	80	330	$170	$342.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	194	240	840	$20	$259.2K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	12	40	200	$20	$234.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	152	170	340	$190	$206.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	539	610	1,220	$40	$206K
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…	47	3,760	610	$40	$202.3K

Showing 1–10 of 208

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Demond White	TN	Family Medicine Physician	$842.5K	$0
Gibran Naddy	TN	Internal Medicine Physician	$545K	$28.9K
David Blazer	TN	Cardiovascular Disease Physician	$306.8K	$0
Matthew Sarb	TN	Orthopaedic Surgery Physician	$286.5K	$0
Deline Kirubanathan	TN	Family Medicine Physician	$270.1K	$0
David Ross	TN	Internal Medicine Physician	$269.3K	$0
Ehab Kasasbeh	TN	Interventional Cardiology Physician	$233.3K	$0
Mohammad Alsoub	TN	Pulmonary Disease Physician	$153.6K	$51.4K
Getu Assefa	TN	Interventional Cardiology Physician	$181.2K	$0
Enawgaw Mehari	TN	Neurology Physician	$147.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Tennessee Hospital Corporation	TN	General Acute Care Hospital	$0	$30.1M
Senior Moments Healthcare Inc.	TN	In Home Supportive Care Agency	$0	$21.5M
Dickson Pediatric Dentistry PLLC	TN	Pediatric Dentistry	$0	$10.8M
Freeman Recovery Center, LLC	TN	Substance Abuse Rehabilitation Facility	$0	$8.9M
Developmental Services Of Dickson County, Inc.	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M
Middle Tennessee Imaging LLC	TN	Diagnostic Radiology Physician	$0	$4.5M
Luther Lake Emergency Physicians, PLLC	TN	Emergency Medicine Physician	$0	$3.8M
Dickson County Office Of County Mayor	TN	Land Ambulance	$394.2K	$2.4M
Tennessee Dental Professionals PC	TN	General Practice Dentistry	$0	$2.4M
Womens Health Center Of Dickson	TN	Obstetrics & Gynecology Physician	$0	$2.2M

Dickson Medical Associates PC — Billing Profile & Reimbursement Data

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Dickson Medical Associates 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

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