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.

Ultra Health LLC (NPI 1922469543)

Ultra Health LLC is a geriatric medicine (internal medicine) physician provider located in Nashville, Tennessee. This profile covers 0 Medicare and 49 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	Ultra Health LLC
Address	217 6th Ave N Ste 43952
City	Nashville
State	TN
ZIP	37219
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	March 9, 2016

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	216,630	$10	$2.2M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	143,800	$10	$1M
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	12,110	$10	$60.5K
99336	N/A	2,310	$10	$27.8K
99356	N/A	2,110	$10	$21.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,010	$20	$18.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,050	$10	$10.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	440	$20	$9.2K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	220	$20	$5.1K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	150	$20	$3.4K

Showing 1–10 of 49

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

Ultra Health LLC — 3 of 24 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

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	231	300	480	$30	$221.2K
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	3	10	660	$140	$212.1K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	15	100	180	$70	$141.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	55	200	130	$60	$86.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2	360	500	$10	$51.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	2	420	570	$10	$37.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	94	160	370	$20	$23.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	7	210	200	$10	$19.8K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	28	60	170	$20	$18K
99356	N/A	3	10	600	$10	$16.6K

Showing 1–10 of 49

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pragnesh Patel	TN	Interventional Cardiology Physician	$371.9K	$537.3K
April Downing	TN	Family Nurse Practitioner	$258K	$174.7K
Leona Washington	TN	Family Nurse Practitioner	$204.9K	$0
Catherine Flem	OH	Family Nurse Practitioner	$201.8K	$0
Jennifer Hasty	SC	Nurse Practitioner	$190.7K	$0
Sonia Murehead	TN	Family Nurse Practitioner	$184.3K	$0
Sherri Randolph	TN	Family Nurse Practitioner	$94.3K	$800
Cassandra Shepard	MS	Nurse Practitioner	$9.2K	$52K
Andrea Palmer	KY	Nurse Practitioner	$46K	$0
Tonya Crawford	MS	Family Nurse Practitioner	$22.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Camelot Care Centers, LLC	TN	Community/Behavioral Health Agency	$0	$113.1M
Community Care Health Network LLC	TN	Nurse Practitioner	$0	$44.4M
Gastroenterology & Surgery Center Of Arkansas, Ii, LLC.	TN	Ambulatory Surgical Clinic/Center	$540K	$2.8M
Matrix Medical Plus	TN	Nurse Practitioner	$0	$3.2M

Ultra Health LLC — Billing Profile & Reimbursement Data

Sign up for Ultra Health LLC — Billing Profile & Reimbursement Data policy alerts

Ultra Health LLC — Billing Profile & Reimbursement Data

Sign up for Ultra Health 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