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.

Wellness Ambulatory Care Inc. (NPI 1891246658)

Field	Value
Entity Type	Organization
Organization	Wellness Ambulatory Care Inc.
Address	6624 Central Avenue Pike
City	Knoxville
State	TN
ZIP	37912
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	October 17, 2016

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0033	Oral medication administration, direct observation	30,390	$170	$5M
H2010	Comprehensive medication services, per 15 minutes	18,290	$210	$3.9M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	13,820	$220	$3.1M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	19,070	$20	$457.7K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	1,340	$280	$369.1K
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…	5,450	$40	$223.4K
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…	31,080	$10	$186.5K
H0049	Alcohol and/or drug screening	5,770	$20	$127K
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…	11,110	$10	$122.2K
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.	26,570	$1	$106.3K

Showing 1–10 of 20

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

Wellness Ambulatory Care Inc. — 6 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	23	30	3,390	$90	$1.3M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	8	130	620	$200	$655.5K
H0034	Medication training and support, per 15 minutes	7	20	610	$60	$421.5K
H0014	Alcohol and/or drug services; ambulatory detoxification	48	80	250	$250	$405.4K
H0033	Oral medication administration, direct observation	2	100	340	$150	$306.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	384	440	530	$70	$282.3K
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…	211	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…	2,652	3,760	610	$40	$202.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	8	40	440	$250	$190.5K
H2010	Comprehensive medication services, per 15 minutes	1	70	530	$130	$187.7K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wellness Ambulatory Care Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Davis	TN	Internal Medicine Physician	$113.7K	$0
Billy Davis	AL	Addiction Medicine (Family Medicine) Physician	$65.8K	$0
Clifford Davidson	TN	Internal Medicine Physician	$59.9K	$0
John O Connell	TN	Internal Medicine Physician	$26.3K	$0

Nearby Providers

Other providers in the same ZIP code as Wellness Ambulatory Care Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoals Ambulance LLC	TN	Land Ambulance	$11.1M	$17.4M
University Health System, Inc	TN	Pediatrics Physician	$0	$16.8M
Sunrise Community Of Tennessee, Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Evergreen Presbyterian Ministries Of East Tn	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.8M
Stanley Park	TN	Pediatrics Physician	$0	$2.7M
David Velarde	TN	Foot Surgery Podiatrist	$45.7K	$0

Wellness Ambulatory Care Inc. — Billing Profile & Reimbursement Data

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Wellness Ambulatory Care Inc. — 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