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.

Central Tennessee Hospital Corporation (NPI 1871530832)

Key Findings

Field	Value
Entity Type	Organization
Organization	Central Tennessee Hospital Corporation
Address	111 Highway 70 E
City	Dickson
State	TN
ZIP	37055
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$30.1M
Medicare	$0

CENTRAL TENNESSEE HOSPITAL CORPORATION reports $30.1M in lifetime Medicaid revenue and has no Medicare billing on file; operationally this makes the provider effectively single-payer (Medicaid) in the available claims data and concentrates payer risk and performance visibility around Medicaid activity. The absence of Medicare billing on file should be treated as a material factor when comparing this facility to hospitals with mixed payer footprints.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three codes (99283, 99284, 96374) account for 89.9% of the provider's total Medicaid revenue. Those three are reported as 99283: $15M (49.9%), 99284: $10.7M (35.4%), and 96374: $1.4M (4.6%), indicating that most dollars flow through a narrow clinical pathway.

The code mix and revenue distribution point to an ED-centric operating model: 99283 (61.6K claims, $244 avg paid/claim) and 99284 (44.1K claims, $242 avg paid/claim) together represent the bulk of Medicaid revenue and reflect a high-volume emergency department handling low- to moderate-complexity visits. Ancillary administration activity is also prominent through 96374 (30.8K claims, $45 avg paid/claim), consistent with frequent IV medication administration in an acute care or ED setting.

Competitive standing within Tennessee is strong for certain ED and infusion services. For 99283 the provider ranks #19 of 611 in-state (97th percentile; notably above typical state volume), and for 96374 it ranks #3 of 121 (98th percentile; notably above typical state volume), signaling that the hospital is a high-volume provider for those specific services. By contrast, 99284 ranks #26 of 625 (96th percentile; typical, unremarkable volume), and 99285 ranks #179 of 565 (68th percentile; typical, unremarkable volume), which together suggest prominence at low-to-moderate acuity ED visits but not dominance in the highest-acuity ED tier.

Clinical acuity on the Medicaid side skews toward lower-to-moderate complexity: 99282 accounts for $1.3M (4.2%) and ranks #13 of 184 (93th percentile; typical), while 99285 is only $333.9K (1.1%) and ranks #179 of 565 (68th percentile; typical). This distribution indicates heavy throughput of less complex emergency cases rather than a revenue mix driven by intensive, high-acuity inpatient or complex outpatient procedures.

Operational throughput implications are evident from high claim volumes: 61.6K claims for 99283, 44.1K claims for 99284, and 30.8K claims for 96374. These volumes imply sustained ED patient flow and frequent IV medication administration that likely drive staffing, pharmacy, and supply needs in the hospital's outpatient/ED footprint.

Although the facility is ED-focused for Medicaid dollars, it does bill a range of ancillary inpatient/outpatient procedures that together form small revenue tails—examples include 43239 at $302K (1.0%), 45380 at $192.2K (0.6%), and 87635 at $113.3K (0.4%). These services indicate available endoscopy, imaging, and lab capacity but they are not material revenue drivers relative to the ED codes.

The provider has been enumerated since 2006-05-31 (~20 years ago), indicating an established operating presence in Dickson, TN; that tenure combined with the high state-percentile rankings on key ED and infusion codes suggests a stable local role as a primary destination for Medicaid emergency care and related outpatient medication administration.

Medicaid: Complete Services Breakdown

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

87 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	61,630	$240	$15M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	44,060	$240	$10.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30,840	$50	$1.4M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,550	$150	$1.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1,200	$280	$333.9K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	3,660	$90	$328.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,000	$300	$302K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	600	$320	$192.2K
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…	4,200	$30	$113.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	5,210	$20	$104.2K

Showing 1–10 of 87

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

Central Tennessee Hospital Corporation — 3 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

87 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	37	60	1,340	$50	$1.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	26	630	510	$120	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	19	610	570	$110	$884.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	179	570	640	$100	$637.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	27	100	400	$60	$524.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	56	70	160	$500	$421.5K
G0378	Hospital observation service, per hour	71	100	410	$210	$264K
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.	87	240	840	$20	$259.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	13	180	480	$90	$245.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3	120	3,760	$30	$225K

Showing 1–10 of 87

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Senior Moments Healthcare Inc.	TN	In Home Supportive Care Agency	$0	$21.5M
Dickson Medical Associates PC	TN	Family Medicine Physician	$0	$11.3M
Dickson Pediatric Dentistry PLLC	TN	Pediatric Dentistry	$0	$10.8M
Freeman Recovery Center, LLC	TN	Substance Abuse Rehabilitation Facility	$0	$8.9M
Developmental Services Of Dickson County, Inc.	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M
Middle Tennessee Imaging LLC	TN	Diagnostic Radiology Physician	$0	$4.5M
Luther Lake Emergency Physicians, PLLC	TN	Emergency Medicine Physician	$0	$3.8M
Dickson County Office Of County Mayor	TN	Land Ambulance	$394.2K	$2.4M
Tennessee Dental Professionals PC	TN	General Practice Dentistry	$0	$2.4M
Womens Health Center Of Dickson	TN	Obstetrics & Gynecology Physician	$0	$2.2M

Central Tennessee Hospital Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References