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.

Shannon Mullen-magbalon (NPI 1053640235)

Shannon Mullen-magbalon is a counseling psychologist provider located in Thomasville, Georgia. This profile covers 0 Medicare and 12 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	Individual
Organization	Shannon Mullen-magbalon
Address	229 Remington Ave
City	Thomasville
State	GA
ZIP	31792
Taxonomy	Counseling Psychologist
NPI Enumerated	December 16, 2009

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	7,820	$100	$774K
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…	1,060	$230	$238.7K
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…	910	$190	$176.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,410	$110	$161K
96101	N/A	380	$310	$117.5K
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…	910	$90	$81.8K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	1,050	$40	$39K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	190	$200	$37.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	8,290	$1	$24.9K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	190	$100	$19.3K

Showing 1–10 of 12

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

Shannon Mullen-magbalon — 4 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	35	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…	1	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…	263	290	240	$70	$69.3K
90832	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…	76	140	130	$40	$59.9K
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…	3	10	210	$120	$59.8K
96101	N/A	3	10	120	$280	$59.2K
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…	4	10	230	$80	$39.5K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	1	10	190	$200	$37.5K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	2	10	160	$30	$21K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	240	50	$80	$20.5K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgia Pines Community Service Board	GA	Community/Behavioral Health Agency	$0	$45.3M
Thomasville Surgery Center, Inc.	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Brian Szwarc	GA	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$126.6K	$540.7K
Thomas County Commissioners Of Roads & Revenues	GA	Land Ambulance	$606.5K	$0
Maximilian Shokat	GA	Interventional Pain Medicine Physician	$516.1K	$0
Maurice Bernaiche	GA	Interventional Pain Medicine Physician	$358.6K	$6.7K
Michael Magbalon	GA	Ophthalmology Physician	$359K	$0
Michael Gee	GA	Internal Medicine Physician	$331.6K	$0
Albert Richardson	GA	Vascular Surgery Physician	$325.9K	$0
Pathology Associates, P.C.	GA	Anatomic Pathology Physician	$0	$294.4K

Shannon Mullen-magbalon — Billing Profile & Reimbursement Data

Sign up for Shannon Mullen-magbalon — Billing Profile & Reimbursement Data policy alerts

Shannon Mullen-magbalon — Billing Profile & Reimbursement Data

Sign up for Shannon Mullen-magbalon — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References