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.

Regional Neonatal Associates (NPI 1770652372)

Field	Value
Entity Type	Organization
Organization	Regional Neonatal Associates
Address	1930 Alcoa Hwy
City	Knoxville
State	TN
ZIP	37920
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	10,720	$300	$3.2M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	20,400	$100	$2M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	20,990	$100	$2M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	12,120	$60	$702.9K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	10,020	$60	$641.2K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	10,760	$30	$322.8K
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	870	$290	$254.9K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	3,200	$60	$195.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	350	$80	$26.2K

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

Regional Neonatal Associates — 3 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	7	10	1,110	$340	$3.6M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6	20	1,380	$300	$2.7M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	3	10	1,710	$90	$1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	20	890	$100	$997K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	4	110	190	$50	$64.7K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	2	10	630	$60	$64.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	5	310	160	$40	$37.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	79	280	110	$30	$29K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	1	70	100	$30	$19.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amanda Johnson	TN	Pediatric Nurse Practitioner	$176.8K	$0

Nearby Providers

Other providers in the same ZIP code as Regional Neonatal Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
High Risk Obstetrical Consultants, PLLC	TN	Maternal & Fetal Medicine Physician	$0	$32.6M
Laboratory Corporation Of America	TN	Clinical Medical Laboratory	$5.2M	$19.8M
University Health System, Inc.	TN	General Acute Care Hospital	$0	$13.8M
Association Of University Radiologists, PC	TN	Diagnostic Radiology Physician	$0	$6M
Cherokee Farm Orthopedic Surgery Center, LLC	TN	Ambulatory Surgical Clinic/Center	$2.6M	$0
University Of Tennessee	TN	Multi-Specialty Clinic/Center	$0	$2.6M
State Of Tennessee	TN	Clinical Medical Laboratory	$0	$2.4M
Pediatric Consultants Of East Tennessee	TN	Pediatrics Physician	$0	$2.1M
Lynellen Gregory	TN	Vascular Surgery Physician	$415.1K	$0
Paul Pruett	TN	Glaucoma Specialist (Ophthalmology) Physician	$410.4K	$0

Regional Neonatal Associates — Billing Profile & Reimbursement Data

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Regional Neonatal Associates — 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