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.

Premier Medical Group PC (NPI 1740242957)

Premier Medical Group PC is a general practice physician provider located in Clarksville, Tennessee. This profile covers 0 Medicare and 150 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	Premier Medical Group PC
Address	490 Dunlop Ln
City	Clarksville
State	TN
ZIP	37040
Taxonomy	General Practice Physician
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

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

150 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…	145,390	$40	$5.7M
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…	54,850	$50	$2.7M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	49,640	$40	$2M
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…	21,820	$70	$1.5M
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…	21,100	$60	$1.3M
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	80,470	$10	$1.1M
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…	40,370	$30	$1M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	15,030	$50	$691.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,030	$70	$554.1K
96161	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient's caregiver, analyzes the results, assigns a score, and documents the findings. Use this code…	34,800	$10	$452.3K

Showing 1–10 of 150

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

Premier Medical Group PC — 13 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

150 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	43	70	160	$500	$421.5K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	49	80	100	$1,260	$405.3K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	30	40	200	$20	$234.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	16	610	1,220	$40	$206K
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…	57	3,760	610	$40	$202.3K
0241U	N/A	12	70	870	$90	$197.2K
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…	13	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…	16	4,050	620	$30	$183.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	92	130	370	$50	$183.3K
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…	17	480	580	$60	$174.8K

Showing 1–10 of 150

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Preston	TN	Diagnostic Radiology Physician	$231.4K	$0
Anne Gunn	TN	Diagnostic Radiology Physician	$206.6K	$0
Joseph Kosinski	TN	Family Medicine Physician	$204.2K	$0
George Lu	TN	Family Medicine Physician	$180.2K	$0
Jacqueline Milam	TN	Internal Medicine Physician	$164.9K	$0
Nimit Patel	TN	Internal Medicine Physician	$137.8K	$0
Jyotsna Korivi	TN	Family Medicine Physician	$100K	$0
Jeffrey Wade	TN	Diagnostic Radiology Physician	$78.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clarksville Health System, LLC	TN	General Acute Care Hospital	$0	$32.9M
Advanced Therapy Solutions	TN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
Progressive Directions Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$9.1M
County Of Montgomery-office Of County Judge	TN	Land Ambulance	$1.3M	$6.3M
Envoi Associates, LLC	TN	In Home Supportive Care Agency	$0	$3.2M
Latasha Garrett	TN	Pediatric Dentistry	$0	$3.1M
Barbara A Aquino Md PLLC	TN	Pediatrics Physician	$0	$2.6M
Valley Emergency Physicians Tennessee PC	TN	Emergency Medicine Physician	$0	$2.2M
Clarksville Eye Surgery Center	TN	Ambulatory Surgical Clinic/Center	$620.1K	$17.9K
Air Evac Ems, Inc.	TN	Air Ambulance	$481.4K	$63.3K

Premier Medical Group PC — Billing Profile & Reimbursement Data

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Premier Medical Group PC — 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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