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.

University Of Tennessee (NPI 1689631137)

Field	Value
Entity Type	Organization
Organization	University Of Tennessee
Address	1924 Alcoa Hwy
City	Knoxville
State	TN
ZIP	37920
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 27, 2006

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

45 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…	31,840	$40	$1.3M
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…	16,720	$60	$953.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	4,880	$10	$63.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,320	$40	$46.3K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	650	$60	$38.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,430	$20	$33K
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…	290	$80	$24.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	250	$80	$19.8K
99384	The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.	160	$110	$17.7K
3008F	No Summary found for this code	17,270	$1	$17.3K

Showing 1–10 of 45

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

University Of Tennessee — 3 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	291	360	350	$50	$414.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	95	300	480	$30	$221.2K
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…	195	3,760	610	$40	$202.3K
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…	313	520	470	$70	$187K
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…	132	4,050	620	$30	$183.9K
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…	338	480	580	$60	$174.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	112	310	110	$70	$142.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	371	510	240	$70	$133.7K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	36	60	270	$110	$121.6K
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…	951	1,080	120	$80	$90.7K

Showing 1–10 of 45

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Tennessee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Health System, Inc.	TN	General Acute Care Hospital	$0	$13.8M
University Of Tennessee	TN	Dentist	$0	$3.1M
Nicholas Vance	TN	Orthopaedic Surgery Physician	$122K	$0
Brandon Chappell	KY	Family Medicine Physician	$76.4K	$0
Larry Kilgore	TN	Gynecologic Oncology Physician	$55.7K	$0
Jonathan Boone	TN	Gynecologic Oncology Physician	$48.5K	$0
Elizabeth Tobener	TN	Audiologist-Hearing Aid Fitter	$6K	$0
Elizabeth Humphrey	TN	Audiologist	$3.7K	$0
Steven Doettl	TN	Audiologist	$3.2K	$0
Kimberly Almand	TN	Speech-Language Pathologist	$2.6K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Tennessee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
High Risk Obstetrical Consultants, PLLC	TN	Maternal & Fetal Medicine Physician	$0	$32.6M
Laboratory Corporation Of America	TN	Clinical Medical Laboratory	$5.2M	$19.8M
Regional Neonatal Associates	TN	Neonatal-Perinatal Medicine Physician	$0	$9.4M
Association Of University Radiologists, PC	TN	Diagnostic Radiology Physician	$0	$6M
Cherokee Farm Orthopedic Surgery Center, LLC	TN	Ambulatory Surgical Clinic/Center	$2.6M	$0
State Of Tennessee	TN	Clinical Medical Laboratory	$0	$2.4M
Pediatric Consultants Of East Tennessee	TN	Pediatrics Physician	$0	$2.1M
Lynellen Gregory	TN	Vascular Surgery Physician	$415.1K	$0
Paul Pruett	TN	Glaucoma Specialist (Ophthalmology) Physician	$410.4K	$0
Drew Miller	TN	MOHS-Micrographic Surgery Physician	$286K	$124.3K

University Of Tennessee — Billing Profile & Reimbursement Data

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University Of Tennessee — 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