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.

Hilltoppers, Inc. (NPI 1699812255)

Field	Value
Entity Type	Organization
Organization	Hilltoppers, Inc.
Address	86 Duer Court
City	Crossville
State	TN
ZIP	38555
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 31, 2007

Payer Source	Total Paid
Medicaid	$16.5M
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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	7,790	$1,930	$15M
T2016	Habilitation, residential, waiver; per diem	2,620	$300	$794.8K
T2021	Day habilitation, waiver; per 15 minutes	3,870	$100	$394.9K
A0110	Non-emergency transportation and bus, intra or inter state carrier	12,680	$10	$152.1K
A0425	Ground mileage, per statute mile	10,450	$10	$114.9K
T2019	Habilitation, supported employment, waiver; per 15 minutes	780	$80	$64.2K
A0130	Non-emergency transportation: wheelchair van	450	$20	$10.7K

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

Hilltoppers, Inc. — 0 of 7 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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	28	100	4,520	$320	$31.6M
T2016	Habilitation, residential, waiver; per diem	23	50	2,620	$430	$11.9M
T2021	Day habilitation, waiver; per 15 minutes	53	100	3,920	$80	$3.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	18	20	1,770	$70	$1.1M
A0425	Ground mileage, per statute mile	131	340	6,120	$10	$280.5K
A0110	Non-emergency transportation and bus, intra or inter state carrier	64	200	4,240	$10	$183.4K
A0130	Non-emergency transportation: wheelchair van	62	100	930	$10	$109.8K

Nearby Providers

Other providers in the same ZIP code as Hilltoppers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Plateau Pediatrics, Plc	TN	Rural Health Clinic/Center	$0	$10.6M
Cumberland Medical Center, Inc.	TN	General Acute Care Hospital	$0	$6.1M
Cumberland County Finance	TN	Land Ambulance	$1.3M	$3M
Mohammad Koucheki	TN	Pediatrics Physician	$0	$3.2M
William E Smith Obstetrics & Gynecology	TN	Obstetrics & Gynecology Physician	$0	$3M
Michael Patterson	TN	Ophthalmology Physician	$2.9M	$0
Dirk Davidson	TN	Specialist	$2.7M	$0
Ryan Grover	TN	Radiation Oncology Physician	$2.2M	$0
Cataract And Laser Center, LLC	TN	Ophthalmologic Surgery Clinic/Center	$2M	$164.4K
Sivalingam Kanagasegar	TN	Rheumatology Physician	$1.5M	$46.5K

Hilltoppers, Inc. — Billing Profile & Reimbursement Data

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Hilltoppers, Inc. — 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