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.

George Mackel, Pmhnp-bc, LLC (NPI 1073111845)

George Mackel, Pmhnp-bc, LLC is a psychiatric/mental health nurse practitioner provider located in Jasper, Georgia. This profile covers 0 Medicare and 10 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	George Mackel, Pmhnp-bc, LLC
Address	12034 Big Canoe
City	Jasper
State	GA
ZIP	30143
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	October 14, 2020

Payer Source	Total Paid
Medicaid	$765.1K
Medicare	$0

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

10 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…	6,040	$80	$458.7K
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…	6,650	$40	$259.4K
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…	530	$30	$18.2K
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…	170	$90	$14.7K
90838	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…	130	$70	$9.6K
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…	30	$80	$2.6K
90836	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…	40	$40	$1.8K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	110	$1	$110
Q3014	Telehealth originating site facility fee	40	$1	$40
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	20	$1	$20

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

George Mackel, Pmhnp-bc, LLC — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	102	820	390	$70	$245K
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…	94	230	100	$110	$97.1K
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…	47	160	180	$80	$68K
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…	7	70	300	$30	$67.6K
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…	32	60	40	$120	$30.6K
90836	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…	5	10	40	$50	$28.3K
Q3014	Telehealth originating site facility fee	49	60	160	$20	$19.2K
90838	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…	4	10	160	$40	$6.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	82	90	210	$1	$2.9K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	2	10	120	$1	$60

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Khawaja Mahmood	GA	Pediatric Adolescent Medicine Physician	$0	$2.1M
Piedmont Providers LLC	GA	Internal Medicine Physician	$0	$1.6M
Matthew Camp	GA	Ophthalmology Physician	$1.2M	$0
North Georgia Primary Care PC	GA	Internal Medicine Physician	$0	$950.9K
Jasper Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$677.5K	$0
Ghada Kunter	GA	Hematology & Oncology Physician	$607.5K	$0
Pickens County Government	GA	Land Ambulance	$373.3K	$0
Carlton Faulk	GA	Dermatology Physician	$363.5K	$0
John Schnars	GA	Orthopaedic Surgery Physician	$329.5K	$0
Scott Masson	GA	Interventional Pain Medicine Physician	$297.2K	$0

George Mackel, Pmhnp-bc, LLC — Billing Profile & Reimbursement Data

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George Mackel, Pmhnp-bc, LLC — 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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