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.

Morristown Hamblen Hospital Association (NPI 1912997024)

Morristown Hamblen Hospital Association is a general acute care hospital provider located in Morristown, Tennessee. This profile covers 0 Medicare and 142 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Morristown Hamblen Hospital Association
Address	908 West Fourth North Street
City	Morristown
State	TN
ZIP	37814
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 28, 2005

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

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

142 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	27,030	$220	$6M
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.	33,070	$140	$4.7M
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.	10,360	$270	$2.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14,880	$30	$476.1K
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.	5,660	$70	$401.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4,240	$90	$376.9K
G0378	Hospital observation service, per hour	1,970	$190	$367.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	14,410	$20	$317.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	620	$510	$313.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	60,730	$1	$242.9K

Showing 1–10 of 142

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

Morristown Hamblen Hospital Association — 6 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

142 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	58	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.	51	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.	38	610	570	$110	$884.4K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	14	30	410	$520	$719.2K
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.	54	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…	54	100	400	$60	$524.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	8	40	1,860	$70	$294.9K
G0378	Hospital observation service, per hour	21	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.	82	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.	27	180	480	$90	$245.5K

Showing 1–10 of 142

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunil Ramaprasad	TN	Interventional Cardiology Physician	$637K	$255.4K
Alpesh Patel	NJ	Cardiovascular Disease Physician	$523.7K	$0
Robert Mcqueen	TN	Cardiovascular Disease Physician	$316.8K	$57.4K
Harikrishnan Damodaran Nair	KY	Interventional Cardiology Physician	$234.8K	$0
Joshua Todd	TN	Interventional Cardiology Physician	$105.6K	$0
David Wood	TN	Interventional Cardiology Physician	$100.4K	$0
Veronica Gubatan	TN	Psychiatry Physician	$40.6K	$0
Lee Dilworth	TN	Cardiovascular Disease Physician	$28.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allcare, LLC	TN	In Home Supportive Care Agency	$0	$21.9M
Edward H Moody Jr Dds PC	TN	Pediatric Dentistry	$0	$4.5M
Morristown Hamblen Emergency Medical Services	TN	Land Ambulance	$789.5K	$2.4M
Premier Support Services, Inc.	TN	Home Health Agency	$0	$3M
Volunteer Healthcare Services, Inc.	TN	Physical Therapy Clinic/Center	$0	$2.5M
Mcfarland Group LLC	TN	Oxygen Equipment & Supplies (DME)	$0	$2.5M
Med-trans Corporation	TN	Air Ambulance	$502.4K	$920.7K
Tina Bowles	TN	Family Nurse Practitioner	$973.6K	$0
Louis Hyde	TN	Optometrist	$88.7K	$432.6K
Mattie Trent	TN	Family Nurse Practitioner	$322.8K	$0

Morristown Hamblen Hospital Association — Billing Profile & Reimbursement Data

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Morristown Hamblen Hospital Association — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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