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.

Albany Urology Clinic (NPI 1043383623)

Albany Urology Clinic is a urology physician provider located in Albany, Georgia. This profile covers 0 Medicare and 23 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	Albany Urology Clinic
Address	2400 Osler Ct
City	Albany
State	GA
ZIP	31707
Taxonomy	Urology Physician
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicaid	$235.9K
Medicare	$0

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

23 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…	5,500	$20	$93.5K
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…	3,500	$20	$66.6K
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	9,750	$1	$19.5K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	2,810	$10	$14.1K
99215	The provider sees an established 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…	770	$20	$11.6K
99203	The provider sees a new 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 provider…	130	$50	$6.5K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	5,180	$1	$5.2K
84153	The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…	850	$10	$4.3K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	3,340	$1	$3.3K
82010	The lab analyst performs the technical lab test to analyze quantitative ketone bodies, typically in serum or plasma. The quantitative test is to determine a number value, not just a positive or…	1,120	$1	$2.2K

Showing 1–10 of 23

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

Albany Urology Clinic — 3 of 19 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	208	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…	107	820	390	$70	$245K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	22	40	60	$200	$182.2K
99203	The provider sees a new 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 provider…	139	310	90	$90	$136.3K
99204	The provider sees a new 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 provider…	203	230	100	$110	$97.1K
84403	The lab analyst performs a test to measure total testosterone, typically in patient serum.	11	10	160	$10	$74.5K
99215	The provider sees an established 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…	38	160	180	$80	$68K
84153	The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…	5	10	190	$10	$54.5K
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	16	20	280	$1	$25.9K
84156	The lab analyst performs a test to evaluate the level of total protein in a urine specimen by a lab method other than refractometry or dipstick.	9	20	710	$10	$24.9K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jr's Loving Care Services, Inc.	GA	Home Health Agency	$0	$2.7M
Albany Urology Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$732.4K	$0
Nexus Of Albany Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$712.1K	$0
John Inman	GA	Obstetrics & Gynecology Physician	$560.5K	$0
Meredyth Surgery Center, PC	GA	Ambulatory Surgical Clinic/Center	$525.8K	$0
Joe Morgan	GA	Vascular Surgery Physician	$439.9K	$0
Robert Stickle	GA	Diagnostic Radiology Physician	$425.9K	$0
Joseph Stubbs	GA	Internal Medicine Physician	$366.7K	$0
Charles Kemp	GA	Internal Medicine Physician	$365.5K	$0
Joseph Mclendon	GA	Internal Medicine Physician	$277K	$0

Albany Urology Clinic — Billing Profile & Reimbursement Data

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Albany Urology Clinic — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Monahan	GA	Urology Physician	$386.4K	$0
Khaled Ajib	GA	Urology Physician	$225.2K	$0
Steven Snipes	GA	Surgical Physician Assistant	$13.4K	$0
Guy Gober	NV	Urology Physician	$9.1K	$0