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.

Knoxville Home Therapies LLC (NPI 1922176650)

Knoxville Home Therapies LLC is a home infusion therapy pharmacy provider located in Knoxville, Tennessee. This profile covers 0 Medicare and 26 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	Knoxville Home Therapies LLC
Address	3201 Henson Rd
City	Knoxville
State	TN
ZIP	37921
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	12,390	$280	$3.5M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	22,870	$110	$2.6M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	15,110	$90	$1.3M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10,280	$60	$616.8K
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	4,050	$140	$546.6K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	4,200	$120	$516K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	13,550	$40	$487.8K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	10,480	$50	$471.7K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2,490	$110	$271.2K
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	3,590	$70	$262.3K

Showing 1–10 of 26

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

Knoxville Home Therapies LLC — 4 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	4	20	2,380	$330	$2.3M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5	30	3,000	$90	$961.2K
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	5	10	14,670	$30	$808.8K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	3	20	2,850	$110	$728.4K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	5	10	1,170	$160	$514.8K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	1,140	$170	$344.4K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	10	20	4,040	$40	$270K
B4162	Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an…	1	10	800	$300	$226.3K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	4	10	440	$40	$163.4K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	4	30	1,570	$30	$161.8K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott-wilson, Inc.	KY	Home Infusion Therapy Pharmacy	$0	$24.5M
Homechoice Partners LLC	VA	Home Infusion Therapy Pharmacy	$0	$23.5M
New England Home Therapies, Inc.	MA	Oxygen Equipment & Supplies (DME)	$0	$23.3M
Infusion Partners LLC	TN	Home Infusion Therapy Pharmacy	$0	$19.8M
Infusion Partners LLC	LA	Home Infusion Therapy Pharmacy	$0	$13.7M
Bioscrip Infusion Services, LLC	FL	Home Infusion Therapy Pharmacy	$0	$12.5M
East Goshen Pharmacy, LLC	PA	Home Infusion Therapy Pharmacy	$0	$10.1M
Infuscience, LLC	VA	Home Infusion Therapy Pharmacy	$0	$9.7M
Bioscrip Infusion Services, LLC	WV	Home Infusion Therapy Pharmacy	$0	$8.8M
New England Home Therapies, Inc.	MA	Parenteral & Enteral Nutrition Supplies (DME)	$0	$8.3M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phdc Of Knoxville, P.C.	TN	General Practice Dentistry	$0	$23.5M
Drd Management, Inc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$389.5K	$8.5M
Oxygen And Sleep Associates, Inc.	TN	Oxygen Equipment & Supplies (DME)	$0	$8.6M
Drd Management, Inc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$404K	$6.9M
Cherokee Health Systems	TN	Federally Qualified Health Center (FQHC)	$0	$4.7M
Hoya Optical Labs Of America, Inc	TN	Eyewear Supplier	$0	$4.2M
Lincare Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Michael Allee	TN	Optometrist	$22.2K	$237K
Heather Hamstra	TN	Nurse Practitioner	$156.4K	$0
Jamie Ligon	TN	Physical Therapist	$81.3K	$0

Knoxville Home Therapies LLC — Billing Profile & Reimbursement Data

Sign up for Knoxville Home Therapies LLC — Billing Profile & Reimbursement Data policy alerts

Knoxville Home Therapies LLC — Billing Profile & Reimbursement Data

Sign up for Knoxville Home Therapies LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References