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.

Blount Memorial Physician Group, Inc (NPI 1699710194)

Blount Memorial Physician Group, Inc is a family medicine physician provider located in Alcoa, Tennessee. This profile covers 0 Medicare and 85 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Blount Memorial Physician Group, Inc
Address	266 Joule St
City	Alcoa
State	TN
ZIP	37701
Taxonomy	Family Medicine Physician
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	81,480	$20	$1.9M
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…	31,430	$20	$659.9K
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…	20,740	$20	$331.9K
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…	12,330	$20	$296K
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…	4,530	$50	$203.7K
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…	1,940	$60	$116.6K
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…	3,820	$30	$95.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30,440	$1	$91.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,600	$30	$80.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,920	$20	$78.4K

Showing 1–10 of 85

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

Blount Memorial Physician Group, Inc — 7 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	104	170	340	$190	$206.8K
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…	32	3,760	610	$40	$202.3K
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…	135	4,050	620	$30	$183.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	48	240	510	$50	$125.9K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	82	200	300	$60	$106K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	46	80	160	$220	$98.5K
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…	39	160	110	$90	$96K
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…	90	1,080	120	$80	$90.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	318	420	150	$80	$81.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	134	200	380	$30	$80.6K

Showing 1–10 of 85

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Skinner	TN	Dermatology Physician	$661.5K	$0
Shahzad Shah	TN	Cardiovascular Disease Physician	$301.9K	$0
Jonathan Allred	TN	Internal Medicine Physician	$301.9K	$0
Donna Brantley	TN	Family Nurse Practitioner	$263.1K	$0
Prasanna Sugathan	LA	Cardiovascular Disease Physician	$222.6K	$0
Mohammad Shafi	TX	Nephrology Physician	$191.9K	$0
Tariq Haddadin	TN	Interventional Cardiology Physician	$176.4K	$0
John Gay	TN	Dermatology Physician	$167.4K	$0
James Milhollin	TN	Internal Medicine Physician	$160.5K	$0
Benjamin Huff	TN	Family Medicine Physician	$156.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew De Nazareth	TN	Cardiovascular Disease Physician	$250.1K	$0
Keith Campbell	TN	Phlebology Physician	$241.8K	$0
Tennessee Cvs Pharmacy, L.L.C.	TN	Pharmacy	$143.6K	$0
Brian Wetherington	TN	Pain Medicine (Anesthesiology) Physician	$143.1K	$0
Lori Davis	TN	Family Nurse Practitioner	$127.4K	$0
Constance Hayes	TN	Nurse Practitioner	$126.9K	$0
Karen Mullins	TN	Neurology Physician	$121.6K	$0
Kristen Key	TN	Family Medicine Physician	$114.4K	$0
Christine Hagen	TN	Neurology Physician	$100.6K	$0
Edward Akeyson	TN	Neurological Surgery Physician	$99.7K	$0

Blount Memorial Physician Group, Inc — Billing Profile & Reimbursement Data

Sign up for Blount Memorial Physician Group, Inc — Billing Profile & Reimbursement Data policy alerts

Blount Memorial Physician Group, Inc — Billing Profile & Reimbursement Data

Sign up for Blount Memorial Physician Group, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References