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.

Include Me Advocacy Group (NPI 1972075869)

Field	Value
Entity Type	Organization
Organization	Include Me Advocacy Group
Address	222 2nd Ave S
City	Nashville
State	TN
ZIP	37201
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	December 18, 2018

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	20,790	$140	$3M
T2015	Habilitation, prevocational, waiver; per hour	5,620	$110	$618K
T2025	Waiver services; not otherwise specified (nos)	500	$530	$267K
S0315	Disease management program; initial assessment and initiation of the program	90	$430	$38.6K
T2019	Habilitation, supported employment, waiver; per 15 minutes	180	$110	$19.9K

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

Include Me Advocacy Group — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	11	20	1,030	$570	$13.3M
T2021	Day habilitation, waiver; per 15 minutes	12	100	3,920	$80	$3.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	24	20	1,770	$70	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	1	10	2,190	$90	$253.8K
S0315	Disease management program; initial assessment and initiation of the program	2	10	50	$370	$18.8K

Nearby Providers

Other providers in the same ZIP code as Include Me Advocacy Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tamara Heppeard	TN	Family Nurse Practitioner	$127.4K	$0
Adama Panda	TN	Adult Health Nurse Practitioner	$113.6K	$0

Include Me Advocacy Group — Billing Profile & Reimbursement Data

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Include Me Advocacy Group — Billing Profile & Reimbursement Data

Sign up for Include Me Advocacy Group — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References