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.

Nashville General Hospital (NPI 1568551455)

Field	Value
Entity Type	Organization
Organization	Nashville General Hospital
Address	1818 Albion St
City	Nashville
State	TN
ZIP	37208
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

105 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.	14,900	$170	$2.6M
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.	16,660	$130	$2.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	46,080	$30	$1.4M
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.	3,340	$240	$788.2K
G0378	Hospital observation service, per hour	2,460	$140	$332.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	860	$110	$92.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	21,950	$1	$65.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	21,530	$1	$64.6K
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.	750	$80	$62.6K
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…	1,790	$30	$53.7K

Showing 1–10 of 105

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

Nashville General Hospital — 1 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

105 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	5	60	1,340	$50	$1.1M
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.	80	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.	71	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.	106	570	640	$100	$637.8K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	157	230	2,130	$40	$616.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	25	40	1,860	$70	$294.9K
G0378	Hospital observation service, per hour	17	100	410	$210	$264K
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.	79	180	480	$90	$245.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	69	120	3,760	$30	$225K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	65	70	250	$20	$215.6K

Showing 1–10 of 105

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nashville General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rafay Ahmed	IL	Diagnostic Radiology Physician	$134K	$172.3K
Jeffrey Judd	MO	Diagnostic Radiology Physician	$244.2K	$30.2K
Sean Burns	MO	Diagnostic Radiology Physician	$241.7K	$19.1K
Jordan Nepute	MO	Diagnostic Radiology Physician	$217.7K	$5.2K
William Mehard	MO	Diagnostic Radiology Physician	$200.5K	$17.3K
Bradley Baker	MO	Diagnostic Radiology Physician	$169.3K	$10.7K
Michael Stadnyk	MO	Diagnostic Radiology Physician	$127.2K	$41.6K
Marc Clemente	MO	Diagnostic Radiology Physician	$110.1K	$39.2K
Saman Ibrahim	MO	Diagnostic Radiology Physician	$114.2K	$11.1K
Hilary Orlowski	TN	Diagnostic Radiology Physician	$60.1K	$58.5K

Nearby Providers

Other providers in the same ZIP code as Nashville General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meharry Medical College	TN	Clinic/Center	$0	$7.9M
Matthew Walker Comprehensive Health Center, Inc	TN	Federally Qualified Health Center (FQHC)	$0	$2.6M
Dialysis Clinic Inc.	TN	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Richard Hubbell	TN	Anesthesiology Physician	$49.3K	$0
Kenneth Cook	TN	Diagnostic Radiology Physician	$34.9K	$0
Lemuel Dent	TN	Trauma Surgery Physician	$6K	$0

Nashville General Hospital — Billing Profile & Reimbursement Data

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Nashville General Hospital — 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