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.

Rivertown Psychiatry, PC (NPI 1023362852)

Rivertown Psychiatry, PC is a psychiatry physician provider located in Columbus, Georgia. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Rivertown Psychiatry, PC
Address	6003 Veterans Pkwy
City	Columbus
State	GA
ZIP	31909
Taxonomy	Psychiatry Physician
NPI Enumerated	October 31, 2012

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	38,180	$60	$2.1M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	42,720	$20	$982.6K
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.	10,510	$50	$483.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	2,300	$110	$248.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,990	$60	$127.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,820	$40	$109.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	660	$50	$32.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	6,310	$1	$18.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	160	$90	$13.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	50	$100	$4.9K

Showing 1–10 of 15

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

Rivertown Psychiatry, PC — 4 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	18	70	2,840	$30	$428.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	233	920	370	$60	$360.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	17	820	390	$70	$245K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	174	880	410	$90	$148.7K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	4	10	250	$190	$69.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	83	290	240	$70	$69.3K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1	70	300	$30	$67.6K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	10	10	210	$120	$59.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	11	10	230	$80	$39.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1	60	40	$120	$30.6K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Josue Becerra	GA	Psychiatry Physician	$196.5K	$27.8K
Kaizad Shroff	GA	Psychiatry Physician	$186.4K	$0
Kellie Steele	GA	Clinical Social Worker	$10.7K	$150K
Folayan Williams	GA	Professional Counselor	$0	$152.2K
Kara Stewart	GA	Professional Counselor	$0	$147.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals West Georgia, Inc	GA	Developmentally Disabled Services Day Training Agency	$0	$14.3M
North Columbus Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Hughston Clinic, P.C.	GA	Orthopaedic Surgery Physician	$0	$789.9K
Hughston Surgical Center LLC	GA	Ambulatory Surgical Clinic/Center	$589.8K	$0
John Dorchak	GA	Orthopaedic Surgery Physician	$458.7K	$0
Pediatric Acute Care Of Columbus, P.C.	GA	Pediatrics Physician	$0	$376.3K
Garland Gudger	GA	Orthopaedic Surgery Physician	$350.4K	$0
Hares Akbary	GA	Pain Medicine (Anesthesiology) Physician	$331.8K	$0
Randall Ruark	GA	Orthopaedic Surgery Physician	$291.5K	$0
Patrick Fernicola	GA	Orthopaedic Surgery Physician	$239.5K	$0

Rivertown Psychiatry, PC — Billing Profile & Reimbursement Data

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Rivertown Psychiatry, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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