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.

Psychiatric Services Of East Tennessee (NPI 1871658757)

Field	Value
Entity Type	Organization
Organization	Psychiatric Services Of East Tennessee
Address	123 E Washington Ave
City	Athens
State	TN
ZIP	37303
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 22, 2006

Payer Source	Total Paid
Medicaid	$24.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	88,060	$180	$16.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	67,360	$80	$5.7M
H0014	Alcohol and/or drug services; ambulatory detoxification	4,120	$280	$1.2M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	5,260	$220	$1.2M
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…	9,060	$10	$72.5K
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	550	$10	$7.7K
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.	790	$10	$4.8K
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…	90	$40	$3.7K
H0033	Oral medication administration, direct observation	20	$150	$3K
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	$30	$680

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

Psychiatric Services Of East Tennessee — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2	20	3,220	$130	$2.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	3	30	3,390	$90	$1.3M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	18	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…	264	360	350	$50	$414.4K
H0014	Alcohol and/or drug services; ambulatory detoxification	10	80	250	$250	$405.4K
H0033	Oral medication administration, direct observation	97	100	340	$150	$306.9K
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…	286	300	480	$30	$221.2K
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…	22	460	360	$1	$8.8K
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	24	70	210	$10	$8K
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.	231	630	340	$1	$6.9K

Nearby Providers

Other providers in the same ZIP code as Psychiatric Services Of East Tennessee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidzcare Pediatrics, PLLC	TN	Rural Health Clinic/Center	$0	$12.5M
Athens Regional Medical Center LLC	TN	General Acute Care Hospital	$0	$12.2M
American Medical Response Of Tennessee, Inc.	TN	Ambulance	$1.6M	$3.6M
Athens Pediatrics PLLC	TN	Pediatrics Physician	$0	$4.3M
Rehabworks, LLC	TN	Physical Therapy Clinic/Center	$0	$3M
Tri-county Center	TN	Developmentally Disabled Services Day Training Agency	$0	$2.8M
Doctors Dugan And Dugan, LLC	TN	Dental Clinic/Center	$0	$2.3M
Eteri Bibileishvili	TN	Neurology Physician	$59.6K	$522.4K
Athens Surgery Center LLC	TN	Ambulatory Surgical Clinic/Center	$419.3K	$7.9K
Jennifer Ronne	TN	Nurse Practitioner	$394.1K	$0

Psychiatric Services Of East Tennessee — Billing Profile & Reimbursement Data

Sign up for Psychiatric Services Of East Tennessee — Billing Profile & Reimbursement Data policy alerts

Psychiatric Services Of East Tennessee — Billing Profile & Reimbursement Data

Sign up for Psychiatric Services Of East Tennessee — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References