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.

Upper Cumberland Human Resource Agency (NPI 1679613590)

Field	Value
Entity Type	Organization
Organization	Upper Cumberland Human Resource Agency
Address	580 S Jefferson Ave
City	Cookeville
State	TN
ZIP	38501
Taxonomy	Non-emergency Medical Transport (VAN)
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0425	Ground mileage, per statute mile	112,850	$20	$1.8M
A0110	Non-emergency transportation and bus, intra or inter state carrier	63,760	$10	$637.6K
A0130	Non-emergency transportation: wheelchair van	36,030	$10	$252.2K
S5170	Home delivered meals, including preparation; per meal	26,890	$10	$161.3K
A0100	Non-emergency transportation; taxi	370	$0	$0
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	14,980	$0	$0
S0215	Non-emergency transportation; mileage, per mile	15,110	$0	$0

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

Upper Cumberland Human Resource Agency — 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5170	Home delivered meals, including preparation; per meal	12	30	16,820	$10	$316.6K
A0425	Ground mileage, per statute mile	14	340	6,120	$10	$280.5K
A0110	Non-emergency transportation and bus, intra or inter state carrier	15	200	4,240	$10	$183.4K
A0130	Non-emergency transportation: wheelchair van	8	100	930	$10	$109.8K
S0215	Non-emergency transportation; mileage, per mile	10	80	840	$10	$69.3K
A0100	Non-emergency transportation; taxi	121	150	2,340	$1	$30.1K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	12	40	2,780	$1	$19.6K

Nearby Providers

Other providers in the same ZIP code as Upper Cumberland Human Resource Agency, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Caregivers Of Cookeville	TN	Home Health Agency	$0	$49.6M
Cookeville Regional Medical Center	TN	General Acute Care Hospital	$0	$17.1M
Senior Life Management LLC	TN	In Home Supportive Care Agency	$0	$13.3M
Putnam County Pediatrics	TN	Pediatrics Physician	$0	$8.4M
Cavity Commando's Dentistry For Kids PLLC	TN	Pediatric Dentistry	$0	$7.6M
Tennessee Pediatric & Adolescent Center	TN	Legal Medicine	$0	$7M
County Of Putnam	TN	Land Ambulance	$1.7M	$4M
Womens Health Services Of The Cumberlands, PLLC	TN	Obstetrics & Gynecology Physician	$0	$5.6M
Cookeville Regional Dental Inc	TN	Dentist	$0	$5.4M
Cookeville Pediatric Associates, PLLC	TN	Pediatrics Physician	$0	$5M

Upper Cumberland Human Resource Agency — Billing Profile & Reimbursement Data

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Upper Cumberland Human Resource Agency — 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