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.

Jefferson County Hma LLC (NPI 1972585347)

Field	Value
Entity Type	Organization
Organization	Jefferson County Hma LLC
Address	110 Hospital Dr
City	Jefferson City
State	TN
ZIP	37760
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 18, 2005

Payer Source	Total Paid
Medicaid	$14.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

89 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	29,540	$210	$6.2M
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.	19,940	$250	$4.9M
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.	4,560	$240	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,340	$140	$586.3K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	6,730	$40	$289.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	150	$1,860	$275.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	140	$830	$118.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,220	$10	$101.5K
G0378	Hospital observation service, per hour	1,010	$90	$86.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	27,400	$1	$54.8K

Showing 1–10 of 89

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

Jefferson County Hma LLC — 2 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

89 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.	65	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.	42	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.	93	570	640	$100	$637.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	25	50	140	$850	$541.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	36	70	160	$500	$421.5K
G0378	Hospital observation service, per hour	32	100	410	$210	$264K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	159	240	840	$20	$259.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	36	180	480	$90	$245.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	39	120	3,760	$30	$225K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	144	170	340	$190	$206.8K

Showing 1–10 of 89

Nearby Providers

Other providers in the same ZIP code as Jefferson County Hma LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Priority Senior Care LLC	TN	In Home Supportive Care Agency	$0	$4.6M
People2places	TN	Non-emergency Medical Transport (VAN)	$0	$2.1M
Pragnesh Patel	TN	Interventional Cardiology Physician	$371.9K	$537.3K
Adam Shrewsberry	TN	Urology Physician	$476.7K	$0
Jenna Frost	TN	Psychiatric/Mental Health Nurse Practitioner	$217.2K	$0
Milagros Pacia	TN	Physical Therapist	$193.3K	$0
Lance Patton	TN	Internal Medicine Physician	$190.1K	$0
Fiorello Erico Pacia	TN	Physical Therapist	$185.6K	$0
Clyde Worley	TN	Internal Medicine Physician	$137.1K	$0
Aqueel Kouser	TN	Rheumatology Physician	$94.3K	$0

Jefferson County Hma LLC — Billing Profile & Reimbursement Data

Sign up for Jefferson County Hma LLC — Billing Profile & Reimbursement Data policy alerts

Jefferson County Hma LLC — Billing Profile & Reimbursement Data

Sign up for Jefferson County Hma LLC — 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