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.

Restoration Recovery, PLLC (NPI 1770011652)

Field	Value
Entity Type	Organization
Organization	Restoration Recovery, PLLC
Address	6141 Shallowford Rd Ste 100
City	Chattanooga
State	TN
ZIP	37421
Taxonomy	Addiction Medicine (Preventive Medicine) Physician
NPI Enumerated	May 23, 2017

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	12,610	$210	$2.6M
H0014	Alcohol and/or drug services; ambulatory detoxification	2,370	$270	$638.1K
H0033	Oral medication administration, direct observation	1,240	$170	$203.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	25,120	$10	$150.7K
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…	5,070	$20	$101.3K
H2010	Comprehensive medication services, per 15 minutes	1,180	$70	$81.4K
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…	3,030	$20	$69.8K
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	3,800	$20	$64.5K
H0049	Alcohol and/or drug screening	2,560	$20	$53.7K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	5,680	$1	$22.7K

Showing 1–10 of 24

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

Restoration Recovery, PLLC — 1 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	9	130	620	$200	$655.5K
90834	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…	322	360	350	$50	$414.4K
H0014	Alcohol and/or drug services; ambulatory detoxification	15	80	250	$250	$405.4K
H0033	Oral medication administration, direct observation	29	100	340	$150	$306.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	189	240	840	$20	$259.2K
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…	43	300	480	$30	$221.2K
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…	854	3,760	610	$40	$202.3K
H2010	Comprehensive medication services, per 15 minutes	23	70	530	$130	$187.7K
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…	3,282	4,050	620	$30	$183.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	118	310	110	$70	$142.8K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Hare	TN	Addiction Medicine (Preventive Medicine) Physician	$358.4K	$0
Otis Forrester	TN	Family Nurse Practitioner	$135.6K	$0
Shelli Mckenzie	TN	Nurse Practitioner	$123.3K	$0
Susan Yates	GA	Family Nurse Practitioner	$65.7K	$0
Sanjivini Jacob	TN	Addiction Medicine (Preventive Medicine) Physician	$26.6K	$0

Nearby Providers

Other providers in the same ZIP code as Restoration Recovery, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkridge Medical Center, Inc.	TN	Psychiatric Hospital Unit	$0	$52.8M
Dx Mso, PLLC	TN	Urgent Care Clinic/Center	$0	$13.3M
Independent Physical Therapy, LLC	TN	Physical Therapist	$0	$12.3M
Comprehensive Medical Care, P.C.	TN	Pediatrics Physician	$0	$12M
Chattanooga Allergy Clinic , PLLC	TN	Allergy & Immunology Physician	$0	$9M
Hospice Of Chattanooga Holdings, LLC	TN	Community Based Hospice Care Agency	$0	$5.3M
Advanced Respiratory, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Allied Pediatrics PLLC	TN	Pediatrics Physician	$0	$4.2M
Southeast Eye Specialists PLLC	TN	Ophthalmology Physician	$0	$3.8M
Hamilton County Department Of Education	TN	Local Education Agency (LEA)	$0	$3.7M

Restoration Recovery, PLLC — Billing Profile & Reimbursement Data

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Restoration Recovery, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References