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.

Rha Health Services Tn LLC (NPI 1972662245)

Field	Value
Entity Type	Organization
Organization	Rha Health Services Tn LLC
Address	9041 Executive Park Dr Ste 212
City	Knoxville
State	TN
ZIP	37923
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$31.7M
Medicare	$0

Key Findings

RHA HEALTH SERVICES TN LLC reports no Medicare billing on file and $31.7M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid provider in scale. The organization’s NPI was enumerated on 2006-12-06 (~20 years ago), indicating long tenure under its current billing identity, which supports continuity in Medicaid-focused operations.

Revenue is highly concentrated in a small set of waiver and habilitation codes: the precomputed top 3 Medicaid codes by revenue account for 90.9% of this provider's total Medicaid revenue. T2033 alone drives the majority of dollars with $24.4M in revenue (76.9% of the provider’s Medicaid revenue), signaling that residential waiver payments are the core revenue stream.

The code mix is consistent with a Developmentally Disabled Services Day Training Agency: large per-diem residential care billing (T2033) combined with day habilitation (T2021) and personal care (T1019) indicates the provider operates both residential waiver placements and recurring day/assistive services. T2021 (25.8K claims, $96 avg paid/claim, $2.5M revenue) and T1019 (18.6K claims, $106 avg paid/claim, $2M revenue) reflect high-volume, time-based habilitation and personal-care delivery typical for developmental-disability service models.

T2033’s statewide competitive standing is relatively strong: it ranks #9 of 97 providers in-state (92th percentile; typical, unremarkable volume for this code), placing the provider in the top decile for residential waiver billing even while the code’s distribution is characterized as not an extreme statistical outlier. Similarly, T2021 ranks #10 of 104 providers in-state (91th percentile; typical, unremarkable volume for this code), indicating top-decile presence for day habilitation services statewide.

By contrast, the provider’s participation in time-based personal care and attendant services is more modest: T1019 ranks #79 of 208 providers in-state (62th percentile; typical, unremarkable volume for this code) and S5125 ranks #89 of 155 providers in-state (43th percentile; typical, unremarkable volume for this code). These percentiles imply that while RHA is a major player for residential waiver billing, it is a mid-to-lower-tier participant among peers for distributed personal- and attendant-care lines.

There is a meaningful operational and reimbursement exposure tied to the dominant code mix: T2033’s average paid/claim is $714 and accounts for $24.4M in revenue, while the next two contributors have much lower per-claim averages (T2021 $96 avg paid/claim and T1019 $106 avg paid/claim) but substantial claim volumes. Given that the top three codes account for 90.9% of Medicaid revenue, changes to waiver per-diem rates, eligibility, or utilization patterns for residential and day habilitation services would disproportionately affect the provider’s overall revenue.

Secondary codes show limited statewide footprint and do not materially diversify revenue: T2016 (198 claims, $6027 avg paid/claim, $1.2M revenue) ranks #39 of 45 providers in-state (14th percentile; typical, unremarkable volume for this code), and smaller line items such as T2019 and H0036 contribute only fractional shares of revenue. This pattern underscores a concentrated business model centered on residential waiver billing rather than a broad portfolio of Medicaid service lines.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	34,110	$710	$24.4M
T2021	Day habilitation, waiver; per 15 minutes	25,800	$100	$2.5M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	18,550	$110	$2M
S5125	Attendant care services; per 15 minutes	15,060	$110	$1.6M
T2016	Habilitation, residential, waiver; per diem	200	$6,030	$1.2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	540	$60	$34.8K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	680	$30	$23.2K
T2002	Non-emergency transportation; per diem	560	$10	$5K
S5150	Unskilled respite care, not hospice; per 15 minutes	30	$70	$2.3K

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

Rha Health Services Tn LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	9	100	4,520	$320	$31.6M
T2016	Habilitation, residential, waiver; per diem	39	50	2,620	$430	$11.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	9	10	2,040	$430	$7.7M
S5125	Attendant care services; per 15 minutes	89	160	18,880	$110	$3.9M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	79	210	10,880	$90	$3.7M
T2021	Day habilitation, waiver; per 15 minutes	10	100	3,920	$80	$3.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	21	20	1,770	$70	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	103	110	1,370	$60	$264K
T2002	Non-emergency transportation; per diem	16	20	2,260	$10	$230.6K

Nearby Providers

Other providers in the same ZIP code as Rha Health Services Tn LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deborah L Curlee Communication Consultants Inc	TN	Speech-Language Pathologist	$0	$54.5M
Parkwest Medical Center	TN	General Acute Care Hospital	$0	$30M
Preferred Care At Home	TN	In Home Supportive Care Agency	$0	$19M
Tennessee Ear, Nose & Throat Consultants, PC	TN	Otolaryngology Physician	$0	$9.2M
Nurturing Independence Inc	TN	In Home Supportive Care Agency	$0	$5.9M
Special Care Inc.	TN	Community Based Hospice Care Agency	$0	$5.1M
Childhelp, Inc.	TN	Community/Behavioral Health Agency	$0	$4.8M
Family Home Care Services, LLC	TN	In Home Supportive Care Agency	$0	$4.7M
East Tn Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$3.9M
Helping Hands Home Assistance, Inc	TN	Home Health Agency	$0	$3.3M

Rha Health Services Tn LLC — Billing Profile & Reimbursement Data

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Rha Health Services Tn LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References