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.

Careconnect Health, Inc. (NPI 1063436624)

Field	Value
Entity Type	Organization
Organization	Careconnect Health, Inc.
Address	510 Alston St Ste B
City	Richland
State	GA
ZIP	31825
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 27, 2006
NPI Deactivated	September 21, 2006

Payer Source	Total Paid
Medicaid	$93.1M
Medicare	$0

Key Findings

CARECONNECT HEALTH, INC. is effectively single-payer in scale: Total Medicare revenue is none (no Medicare billing on file) while its Medicaid lifetime revenue is $93.1M, indicating that the organization’s entire recorded reimbursement footprint in these datasets is driven by Medicaid. Analysts should treat this profile as a Medicaid-focused FQHC rather than a mixed Medicare/Medicaid outpatient provider.

Revenue concentration is extremely high: the precomputed top-3 Medicaid codes account for 83.3% of the provider’s total Medicaid revenue, with 99213 alone contributing $59.2M (64.5% of Medicaid revenue), followed by 99212 at $12M (13.0%) and 99203 at $5.2M (5.7%). This concentration signals that routine outpatient evaluation-and-management visits are the dominant revenue stream for this site.

The code mix and high-volume E/M claims point to a primary-care–centric Federally Qualified Health Center model: 99213 (543.2K claims, $109 avg paid/claim, $59.2M) and 99212 (109.8K claims, $109 avg paid/claim, $12M) are the largest drivers, supported by preventive E/M codes such as 99392 (14.8K claims, $129 avg paid/claim, $1.9M) and pediatric well visits 99391/99393. High volumes of 90460 (35.4K claims, $25 avg paid/claim, $884K) and J1050 (5.8K claims, $70 avg paid/claim, $407.3K) further indicate integrated vaccination and women's reproductive services are part of routine care delivery.

Competitive standing within Georgia is dominant for multiple high-volume codes: 99213 ranks #1 of 917 providers in-state (100th percentile; extreme outlier), 99212 ranks #1 of 356 (100th percentile; extreme outlier), and 99203 ranks #3 of 314 (99th percentile; extreme outlier). Additional statewide top ranks include 87426 (97K claims, $26 avg paid/claim, $2.5M) at #1 of 159 and 99051 (116.5K claims, $15 avg paid/claim, $1.7M) at #1 of 51, reinforcing that CARECONNECT is an outlier in volume for a range of outpatient and testing services.

Operational characteristics implied by the claims mix: the massive counts for office-visit E/M codes and very high 99051 utilization (116.5K claims, $15 avg paid/claim, $1.7M) suggest extended-hours or high-frequency clinic access patterns; simultaneously, large counts for brief counseling 99401 (70.8K claims, $2 avg paid/claim, $141.7K) and behavioral health codes 90791 and 90832 indicate integrated behavioral health and preventive counseling services. These patterns align with the service portfolio expected of a Federally Qualified Health Center serving broad primary care and community health needs.

Several ancillary services and public-health activities appear substantial: COVID testing 87426 (97K claims, $26 avg paid/claim, $2.5M) and vaccine administration 90460 are both extreme/statewide outliers, indicating heavy testing and immunization throughput during the measurement window. Dental preventive code D1208 (4.5K claims, $51 avg paid/claim, $231.8K) and dental evaluation D0140 (2K claims, $62 avg paid/claim, $123.6K) show the organization provides some dental preventive services alongside primary care.

Although revenue is heavily concentrated in a few codes, the provider reports a broad set of moderately sized service lines: pediatric/adolescent well visits (99391/99393), contraception (J1050), brief assessments (96127), and injection/administration codes (96372) each contribute smaller shares but cumulatively reflect a full-spectrum community health center. Many of these secondary codes also rank in high percentiles statewide (often 95th–100th), confirming high relative volume beyond just core E/M visits.

CARECONNECT’s NPI tenure is long-standing: NPI enumerated 2006-07-27 (~20 years ago), which supports interpreting the high volumes as sustained operational scale rather than a short-term surge. For payer/provider analysts, this combination of long tenure, Medicaid concentration ($93.1M), and repeated top-state rankings suggests a mature, Medicaid-facing FQHC with dominant market share for routine outpatient and public-health services in its region.

Medicaid: Complete Services Breakdown

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

155 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	543,250	$110	$59.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	109,760	$110	$12M
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…	47,710	$110	$5.2M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	96,980	$30	$2.5M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14,750	$130	$1.9M
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…	22,680	$80	$1.8M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	116,540	$20	$1.7M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	11,520	$130	$1.5M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,130	$130	$1.2M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	35,360	$30	$884K

Showing 1–10 of 155

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

Careconnect Health, Inc. — 17 of 25 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

155 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3	10	570	$1,050	$543.9K
D0999	N/A	2	10	2,280	$80	$470.3K
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…	1	920	370	$60	$360.6K
D2392	Post 2 surface resin‑based composite	59	80	270	$90	$262.3K
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…	31	820	390	$70	$245K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3	180	680	$90	$226.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6	180	720	$90	$204.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	15	60	550	$50	$193.7K
D2391	Resin‑based composite – one surface, posterior	21	60	190	$80	$186.8K
D1120	Prophylaxis–child	27	140	620	$30	$173.7K

Showing 1–10 of 155

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Appavuchetty Soundappan	GA	Internal Medicine Physician	$399.3K	$0
Terry Ham	GA	Internal Medicine Physician	$267.7K	$0
Antonio Remollino	GA	Pediatrics Physician	$0	$238.4K
Gerald Brantley	GA	Internal Medicine Physician	$197K	$0
Richard Chase	GA	Family Medicine Physician	$42.1K	$0
Alan Brown	GA	Internal Medicine Physician	$33.8K	$0
Herschel Kessler	GA	Family Medicine Physician	$15.8K	$0
Reuben Roberts	GA	Family Medicine Physician	$10.6K	$0

Careconnect Health, Inc. — Billing Profile & Reimbursement Data

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Careconnect Health, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References