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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Charles Potter (NPI 1023092897)

Field	Value
Entity Type	Individual
Organization	Charles Potter
Address	1230 Baxter St
City	Athens
State	GA
ZIP	30606
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	December 5, 2005

Payer Source	Total Paid
Medicaid	$275.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	940	$110	$106.7K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	260	$340	$87.4K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	510	$110	$56.1K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	130	$120	$15.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	$80	$3.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	80	$40	$2.9K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	30	$70	$2.2K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	30	$60	$1.6K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Charles Potter — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6	10	3,360	$330	$2.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	6	10	6,030	$100	$683.9K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	6	10	1,060	$90	$230.5K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	21	50	50	$80	$56.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	46	90	90	$60	$41.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	60	130	$40	$37.5K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	6	10	320	$60	$27.4K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	14	20	50	$90	$14.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Charles Potter, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Clinical Practice Association Inc	FL	Surgery Physician	$0	$79.3M
Bronson Methodist Hospital	MI	Hospitalist Physician	$0	$64.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
University Of Florida Jacksonville Physicians, Inc.	FL	Internal Medicine Physician	$0	$41.4M
Tennessee Valley Neonatology, Inc	AL	Neonatal-Perinatal Medicine Physician	$0	$22.2M
Dlp Western Carolina Physician Practices LLC	NC	Internal Medicine Physician	$0	$14M
Sheridan Healthcare Of Texas PA	TX	Neonatal-Perinatal Medicine Physician	$0	$11.3M
Bronson Battle Creek Hospital	MI	Internal Medicine Physician	$0	$9.8M
Wellstar North Fulton Hospital, Inc	GA	General Acute Care Hospital	$0	$7.8M
Antonia Kolokythas	TN	Oral and Maxillofacial Surgery (Dentist)	$0	$5.9M

Nearby Providers

Other providers in the same ZIP code as Charles Potter, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Athens Kids Specialists, PC	GA	Pediatrics Physician	$0	$5.2M
Reddy Urgent Care LLC	GA	Urgent Care Clinic/Center	$0	$2.6M
Jeremy Wells	GA	Hematology & Oncology Physician	$1.5M	$0
Subodh Agrawal	GA	Cardiovascular Disease Physician	$1.1M	$0
Athens Spine Procedural Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Athens Orthopedic Clinic Ambulatory Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Trinity Ems Transport LLC	GA	Land Ambulance	$1.1M	$0
Gordon Schoenfeld	GA	Radiation Oncology Physician	$834K	$0
Cole Steber	GA	Radiation Oncology Physician	$776.6K	$0
Ronald Terry	GA	Radiation Oncology Physician	$600.6K	$0

Charles Potter — Billing Profile & Reimbursement Data

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Charles Potter — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References