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.

Holston United Methodist Home For Children, Inc. (NPI 1730228776)

Field	Value
Entity Type	Organization
Organization	Holston United Methodist Home For Children, Inc.
Address	404 Holston Dr
City	Greeneville
State	TN
ZIP	37743
Taxonomy	Clinical Social Worker
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1,390	$3,270	$4.6M
H2020	Therapeutic behavioral services, per diem	2,260	$1,770	$4M
S9485	Crisis intervention mental health services, per diem	1,500	$1,560	$2.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,230	$60	$262.3K
S5145	Foster care, therapeutic, child; per diem	130	$630	$78.5K
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…	1,980	$30	$57.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5,040	$10	$55.5K
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…	1,790	$30	$53.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	750	$40	$30.8K
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,…	10	$30	$390

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

Holston United Methodist Home For Children, Inc. — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	9	20	1,590	$1,740	$16.5M
H2020	Therapeutic behavioral services, per diem	11	40	880	$1,910	$5.9M
S5145	Foster care, therapeutic, child; per diem	20	20	1,370	$590	$1.5M
S9485	Crisis intervention mental health services, per diem	7	20	1,410	$60	$291.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	51	440	530	$70	$282.3K
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…	1,122	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…	1,259	4,050	620	$30	$183.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	40	110	450	$50	$182.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	16	110	510	$20	$43.4K
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,…	1,122	1,170	170	$20	$23.8K

Nearby Providers

Other providers in the same ZIP code as Holston United Methodist Home For Children, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Medical Management Corporation	TN	Family Nurse Practitioner	$0	$8M
Free Will Baptist Family Ministries, Inc.	TN	Mental Illness Community Based Residential Treatment Facility	$0	$6.3M
Greene County Greeneville Emergency Medical Services	TN	Land Ambulance	$1.1M	$2.8M
Melanie Davidson	TN	Cardiovascular Disease Physician	$344.7K	$0
Robert Thomas	TN	Diagnostic Radiology Physician	$231.8K	$0
Mandeep Bakshi	TN	Pulmonary Disease Physician	$95.9K	$58.6K
Douglas Adkisson	TN	Hospitalist Physician	$151.1K	$0
Sarah Hayes	TN	Psychiatric/Mental Health Nurse Practitioner	$128.7K	$0
Melissa Gaffney	TN	Foot & Ankle Surgery Podiatrist	$73.3K	$2.8K
Sarah Knuettel	TN	Family Medicine Physician	$51.1K	$0

Holston United Methodist Home For Children, Inc. — Billing Profile & Reimbursement Data

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Holston United Methodist Home For Children, 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