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.

John Young (NPI 1740541333)

Field	Value
Entity Type	Individual
Organization	John Young
Address	1 Siskin Plz
City	Chattanooga
State	TN
ZIP	37403
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	May 31, 2012

Payer Source	Total Paid
Medicare	$29.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	100	$120	$11.8K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	100	$60	$5.9K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	150	$30	$3.8K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	50	$70	$3.4K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	40	$90	$3.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	$50	$920
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	30	$20	$820

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

John Young — 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. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	105	110	140	$50	$16.3K
96133	27	30	140	$70	$12.9K
96132	57	80	60	$90	$9.9K
90791	20	170	30	$110	$5.9K
96116	7	30	50	$60	$3.9K
96139	6	20	110	$20	$3.6K
96138	42	70	50	$20	$2.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with John Young, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chattanooga Hamilton County Hospital Authority	TN	General Acute Care Hospital	$0	$52.4M
Chattanooga Hamilton County Hospital Authority	TN	Internal Medicine Physician	$0	$27.9M
Clint Kingsley	AL	Hematology & Oncology Physician	$1.6M	$22K
Chirag Patel	TN	Hepatology Physician	$398.5K	$3.1K
Tareck Kadrie	TN	Neurology Physician	$372.3K	$3.8K
Asma Khan	TN	Endocrinology, Diabetes & Metabolism Physician	$175.8K	$77.3K
Harish Manyam	TN	Clinical Cardiac Electrophysiology Physician	$244.5K	$0
Matthew Higgins	TN	Orthopaedic Surgery Physician	$227.6K	$0
Brandon Brown	TN	Dermatology Physician	$204.9K	$0
Frank Kimsey	TN	Radiation Oncology Physician	$200.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional Obstetrical Consultants PC	TN	Maternal & Fetal Medicine Physician	$0	$14.2M
Tennessee River Physicians, PLLC	TN	Emergency Medicine Physician	$0	$3.9M
Southeastern Emergency Services Of Memphis, P.C.	TN	Emergency Medicine Physician	$0	$3.8M
Tennessee Interventional And Imaging Associates, PLLC	TN	Diagnostic Radiology Physician	$0	$3.4M
Erlanger Health	TN	General Acute Care Hospital	$0	$3.3M
Hearth Hospice Of Tennessee, LLC	TN	Community Based Hospice Care Agency	$0	$2.8M
Erlanger Health	TN	Internal Medicine Physician	$0	$2.3M
Robert Graham	TN	Hematology & Oncology Physician	$1.2M	$19.8K
Harsha Vardhana	TN	Medical Oncology Physician	$941.1K	$66.6K
Sumana Nagireddy	TN	Hematology & Oncology Physician	$836.4K	$0

John Young — Billing Profile & Reimbursement Data

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John Young — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References