Clinic
Group Effort of Tennessee, LLC.
Group Effort of Tennessee, LLC. was paid $31.35M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 96% of everything it billed.
33Billing provider infoGROUP EFFORT OF TENNESSEE, LLC.
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1033510250assigned 09/07/2014
33bProvider typeDevelopmental Disabilities Clinic/Center
28Total paid$31.35M
24GClaims39,711
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmental Disabilities Clinic/Center providers in Tennessee
Rank by total paid#1 of 5
Median peer was paid$2.04M
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,958 | $1.06M | |
| 2019 | 1,352 | $1.53M | |
| 2020 | 2,554 | $2.37M | |
| 2021 | 6,368 | $3.77M | |
| 2022 | 7,137 | $5.61M | |
| 2023 | 8,122 | $7.96M | |
| 2024incomplete | 12,220 | $9.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 96% | 25,627 | 5,432 | $30.10M |
| H2018 | Psychosocial rehabilitation services, per diem | 2.2% | 8,809 | 595 | $681K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.4% | 5,176 | 405 | $423K |
| H2020 | Therapeutic behavioral services, per diem | <1% | 99 | 24 | $142K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPOTTER, DEREK (DIRECTOR OF BUSINESS DEVELOPMENT)