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.

Two Rivers Emergency Physicians PLLC (NPI 1962830190)

Field	Value
Entity Type	Organization
Organization	Two Rivers Emergency Physicians PLLC
Address	5655 Frist Blvd
City	Hermitage
State	TN
ZIP	37076
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 25, 2013

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,890	$70	$1.7M
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.	10,390	$50	$550.7K
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.	8,890	$40	$320K
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…	250	$70	$18.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,970	$1	$5.9K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	50	$1	$90
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	90	$0	$0

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

Two Rivers Emergency Physicians PLLC — 1 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	98	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.	117	610	570	$110	$884.4K
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.	23	570	640	$100	$637.8K
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…	61	160	110	$90	$96K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	276	310	1,590	$1	$53.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	100	410	400	$1	$22.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	13	20	150	$1	$530

Related Providers

Other providers that share a Tax Identification Number (TIN) with Two Rivers Emergency Physicians PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rambabu Challa	TN	Physician Assistant	$23.8K	$0

Nearby Providers

Other providers in the same ZIP code as Two Rivers Emergency Physicians PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medistaff, LLC	TN	In Home Supportive Care Agency	$0	$34M
Advancecare Health Services, LLC	TN	In Home Supportive Care Agency	$0	$23.4M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$22.1M
Hermitage Pediatric Dentistry	TN	Dental Clinic/Center	$0	$19.1M
Childrens Medical Group	TN	Pediatrics Physician	$0	$4M
Children's Clinic East	TN	Pediatrics Physician	$0	$3.9M
Summit Surgery Center LP	TN	Ambulatory Surgical Clinic/Center	$559.9K	$655.4K
Chirag Amin	TN	Hematology & Oncology Physician	$820K	$0
Lisa Laya	TN	Infectious Disease Physician	$222.2K	$274.2K
Laura Blakely	TN	Hematology & Oncology Physician	$417.9K	$0

Two Rivers Emergency Physicians PLLC — Billing Profile & Reimbursement Data

Sign up for Two Rivers Emergency Physicians PLLC — Billing Profile & Reimbursement Data policy alerts

Two Rivers Emergency Physicians PLLC — Billing Profile & Reimbursement Data

Sign up for Two Rivers Emergency Physicians PLLC — 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