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.

Methodist Inpatient Physicians LLC (NPI 1609850692)

Field	Value
Entity Type	Organization
Organization	Methodist Inpatient Physicians LLC
Address	1265 Union Ave
City	Memphis
State	TN
ZIP	38104
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 2, 2005

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	145,870	$10	$2M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	67,710	$20	$1.4M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	16,960	$40	$661.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	22,230	$20	$466.7K
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…	3,410	$30	$88.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	4,590	$10	$59.7K
99220	N/A	480	$40	$19.5K
99217	N/A	990	$20	$15.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	940	$10	$4.7K
99219	N/A	110	$40	$4K

Showing 1–10 of 14

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

Methodist Inpatient Physicians LLC — 6 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	99	160	110	$90	$96K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	550	290	$30	$77K
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…	2	840	440	$20	$73K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	480	160	$50	$46.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	17	310	160	$40	$37.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	89	260	280	$20	$35.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2	280	110	$30	$29K
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…	18	350	110	$40	$25.4K
99220	N/A	20	110	80	$50	$12.3K
99219	N/A	15	50	70	$70	$12.3K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Methodist Inpatient Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Healthcare - Memphis Hospitals	TN	General Acute Care Hospital	$0	$105.6M
Methodist Healthcare - Memphis Hospitals	TN	Children's Hospital	$0	$84.4M
Ut Lebonheur Pediatric Specialists, Inc.	TN	Pediatrics Physician	$0	$63.8M
Primary Care Group LLC	TN	Family Medicine Physician	$0	$23.5M
Methodist Healthcare - Olive Branch Hospital	MS	General Acute Care Hospital	$0	$18.1M
Alliance Health Services Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$11.2M
Lebonheur Patient Transportation	TN	Land Ambulance	$0	$4.5M
Specialty Physician Group LLC	TN	Cardiovascular Disease Physician	$0	$3.3M
Methodist Healthcare - Memphis Hospitals	TN	Children's Hospital	$0	$3.3M
Ut Methodist Physicians LLC	TN	Internal Medicine Physician	$0	$2.7M

Nearby Providers

Other providers in the same ZIP code as Methodist Inpatient Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Well Child Inc.	TN	Nurse Practitioner	$0	$19.8M
Bhg Reference Lab, LLC	TN	Clinical Medical Laboratory	$0	$14M
Wci School Health Services, PLLC	TN	Family Nurse Practitioner	$0	$10.4M
Memphis Radiological, P.C.	TN	Diagnostic Radiology Physician	$0	$9.1M
Memphis Medical Center Air Ambulance Service, Inc.	TN	Air Ambulance	$0	$6.5M
Southern College Of Optometry	TN	Optometrist	$0	$5.4M
Satellite Healthcare Of Poplar Avenue LLC	TN	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Phillip R. Bowden, M.d.,p.a.	TN	Gastroenterology Physician	$0	$4.6M
Memphis Recovery Centers, Inc.	TN	Substance Abuse Rehabilitation Facility	$0	$4.6M
Bianca Sweeten	TN	Pediatrics Physician	$0	$3.2M

Methodist Inpatient Physicians LLC — Billing Profile & Reimbursement Data

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Methodist Inpatient Physicians LLC — 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