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.

Madison Transport (NPI 1619333267)

Field	Value
Entity Type	Organization
Organization	Madison Transport
Address	2156 State Highway 189
City	Friendship
State	TN
ZIP	38034
Taxonomy	Non-emergency Medical Transport (VAN)
NPI Enumerated	January 12, 2016

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0425	Ground mileage, per statute mile	83,740	$20	$1.8M
A0110	Non-emergency transportation and bus, intra or inter state carrier	92,220	$10	$461.1K
A0130	Non-emergency transportation: wheelchair van	15,160	$10	$151.6K
S0215	Non-emergency transportation; mileage, per mile	90	$100	$9K

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

Madison Transport — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0425	Ground mileage, per statute mile	21	340	6,120	$10	$280.5K
A0110	Non-emergency transportation and bus, intra or inter state carrier	10	200	4,240	$10	$183.4K
A0130	Non-emergency transportation: wheelchair van	15	100	930	$10	$109.8K
S0215	Non-emergency transportation; mileage, per mile	67	80	840	$10	$69.3K

Madison Transport — Billing Profile & Reimbursement Data

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Madison Transport — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References