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.

Pediatric Anesthesiologists P A (NPI 1720087802)

Pediatric Anesthesiologists P A is a anesthesiology physician provider located in Memphis, Tennessee. This profile covers 0 Medicare and 18 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	Pediatric Anesthesiologists P A
Address	50 N Dunlap St
City	Memphis
State	TN
ZIP	38103
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 20, 2005

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	22,910	$140	$3.1M
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	6,500	$130	$819.5K
00920	The provider performs anesthesia services for a patient undergoing a procedure on male genitalia that is not specified by any other anesthesia code. As part of the procedure, the provider may incise…	2,280	$80	$173.4K
00126	The provider performs anesthesia services for a patient undergoing procedures on the external, middle, and inner ear including biopsy and tympanotomy.	1,590	$80	$128.4K
00320	The provider performs anesthesia services for a patient undergoing any procedure on the esophagus, thyroid, larynx, trachea and lymphatic system of the neck when the patient is one year or older.	760	$80	$62.4K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	140	$140	$19.7K
99100	This code, depicting the "age criteria", is a qualifying circumstance CPT. This is an add–on code, used along with a primary anesthesia procedure code, and is applied only in cases when the patient's…	630	$20	$10.6K
00120	The provider performs anesthesia services for a patient undergoing procedures on the external, middle, and inner ear, including biopsy.	60	$110	$6.4K
01926	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…	40	$160	$5.5K
00300	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system, muscles and nerves of head, neck, and posterior trunk.	40	$120	$5.2K

Showing 1–10 of 18

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

Pediatric Anesthesiologists P A — 7 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	1	60	110	$130	$236.7K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	2	20	60	$170	$222.4K
00300	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system, muscles and nerves of head, neck, and posterior trunk.	2	10	2,150	$50	$116.6K
00920	The provider performs anesthesia services for a patient undergoing a procedure on male genitalia that is not specified by any other anesthesia code. As part of the procedure, the provider may incise…	1	10	60	$90	$48.4K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	33	60	170	$60	$31.8K
00320	The provider performs anesthesia services for a patient undergoing any procedure on the esophagus, thyroid, larynx, trachea and lymphatic system of the neck when the patient is one year or older.	1	10	400	$80	$31.2K
00126	The provider performs anesthesia services for a patient undergoing procedures on the external, middle, and inner ear including biopsy and tympanotomy.	1	20	70	$70	$21.1K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	16	20	30	$140	$17.4K
01926	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…	1	10	40	$160	$5.5K
00120	The provider performs anesthesia services for a patient undergoing procedures on the external, middle, and inner ear, including biopsy.	1	10	40	$130	$4.4K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Healthcare - Memphis Hospitals	TN	Children's Hospital	$0	$84.4M
Ut Lebonheur Pediatric Specialists, Inc.	TN	Pediatrics Physician	$0	$63.8M
Shelby County Health Care Corporation	TN	General Acute Care Hospital	$0	$56.1M
City Of Memphis General City Govt.	TN	Land Ambulance	$3.8M	$52M
Pediatric Emergency Specialists, PC	TN	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$39.1M
Ut Regional One Physicians Inc	TN	Surgery Physician	$0	$24.1M
Meritan, Inc	TN	Home Health Agency	$0	$16.9M
Lebonheur Patient Transportation	TN	Land Ambulance	$0	$4.5M
University Of Tennessee	TN	Dentist	$0	$3.1M
Ut Regional One Physicians Inc	TN	Anesthesiology Physician	$0	$2.3M

Pediatric Anesthesiologists P A — Billing Profile & Reimbursement Data

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Pediatric Anesthesiologists P A — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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