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NPI 1922053545 · Chattanooga, TN · Internal Medicine Physician
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Memorial Health Partners Foundation, Inc is a internal medicine physician provider located in Chattanooga, Tennessee. This profile covers 3 Medicare and 79 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Memorial Health Partners Foundation, Inc |
| Address | 5600 Brainerd Rd |
| City | Chattanooga |
| State | TN |
| ZIP | 37411 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.7M |
| Medicare | $8.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 30 | $190 | $4.8K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 50 | $70 | $4K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,690 | $0 | $0 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
79 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 44,780 | $30 | $1.3M |
| 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… | 30,470 | $30 | $883.7K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 4,520 | $40 | $162.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 3,500 | $20 | $56K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 590 | $60 | $37.4K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 1,180 | $30 | $36.6K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 1,960 | $20 | $35.3K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 2,410 | $10 | $33.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 23,540 | $1 | $23.5K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 2,100 | $10 | $23.1K |
Showing 1–10 of 79
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
79 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 151 | 610 | 1,220 | $40 | $206K |
| 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… | 67 | 3,760 | 610 | $40 | $202.3K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 229 | 520 | 470 | $70 | $187K |
| 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… | 138 | 4,050 | 620 | $30 | $183.9K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 296 | 480 | 580 | $60 | $174.8K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 346 | 510 | 240 | $70 | $133.7K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 30 | 30 | 470 | $90 | $126K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 49 | 160 | 110 | $90 | $96K |
| 99204 | The provider sees a new 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 provider… | 567 | 1,080 | 120 | $80 | $90.7K |
| 96110 | The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate… | 388 | 620 | 740 | $20 | $88.8K |
Showing 1–10 of 79
Other providers in the same ZIP code as Memorial Health Partners Foundation, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Chattanooga Children's Clinic, PLLC | TN | Pediatrics Physician | $0 | $8.4M |
| Me Homecare LLC | TN | In Home Supportive Care Agency | $0 | $5.3M |
| Allied Behavioral Services, Inc. | TN | Behavior Analyst | $0 | $4.2M |
| Eastdale Family Dentistry | TN | Dentist | $0 | $3.5M |
| Pediatric Health Care Associates, PC | TN | Pediatrics Physician | $0 | $3.2M |
| Shimon Oami | TN | Dermatopathology (Pathology) Physician | $490.1K | $720 |
| Charles Kirby | TN | Ophthalmology Physician | $246K | $0 |
| Robert Levy | TN | Ophthalmology Physician | $210.3K | $0 |
| David Huffman | TN | Endocrinology, Diabetes & Metabolism Physician | $192.5K | $0 |
| Harsha Shanthaveerappa | TN | Pulmonary Disease Physician | $118.5K | $0 |
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