Behavioral
Omni Community Health
Omni Community Health was paid $1.60M by Medicaid between Jan 2018 and Sep 2020, across 13 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 72% of everything it billed.
33Billing provider infoOMNI COMMUNITY HEALTH
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1881743805assigned 01/09/2007
33bProvider typePsychologist
28Total paid$1.60M
24GClaims30,528
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Psychologist providers in Tennessee
Rank by total paid#3 of 40
Median peer was paid$21K
This provider vs. median77×
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 | 10,964 | $559K | |
| 2019 | 10,045 | $538K | |
| 2020 | 9,519 | $505K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 72% | 7,449 | 6,579 | $1.16M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 5,689 | 3,467 | $186K |
| G9002 | Coordinated care fee, maintenance rate | 6.4% | 1,506 | 222 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 3,659 | 3,197 | $97K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 788 | 734 | $34K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 574 | 382 | $11K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 517 | 459 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 144 | 141 | $3K |
| 90836 | <1% | 57 | 55 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 61 | 61 | $2K |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 0% | 5,805 | 4,416 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 1,447 | 1,220 | $0.00 |
1 more codes
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 2,832 | $0.00 |
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 officialJUST, MARK (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Omni Community Health | Nashville, TN | $18.18M |
| Omni Community Health | Memphis, TN | $1.47M |
| Omni Community Health | Lawrenceburg, TN | $752K |
| Omni Community Health | Murfreesboro, TN | $496K |
| Omni Community Health | Lebanon, TN | $388K |
| Omni Community Health | Franklin, TN | $134K |
| Omni Community Health | Goodlettsville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.