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.

Vision Medical Consulting, P.C. (NPI 1073562922)

Vision Medical Consulting, P.C. is a family medicine physician provider located in Tucker, Georgia. This profile covers 0 Medicare and 19 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	Vision Medical Consulting, P.C.
Address	1990 Lakeside Pkwy
City	Tucker
State	GA
ZIP	30084
Taxonomy	Family Medicine Physician
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	422,800	$10	$3.8M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	93,060	$1	$279.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	38,590	$10	$270.1K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	5,900	$20	$123.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	3,170	$20	$53.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	730	$30	$19.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	250	$60	$15.9K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	90	$50	$4.3K
99318	Deleted code, effective Jan. 1, 2023	520	$10	$3.6K
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…	30	$80	$2.5K

Showing 1–10 of 19

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

Vision Medical Consulting, P.C. — 6 of 13 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

19 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…	687	820	390	$70	$245K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	52	160	230	$30	$141.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	50	320	$10	$89K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	36	110	80	$70	$81.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	60	200	$10	$23.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	55	70	50	$50	$17.3K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	30	220	$1	$16.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	1	10	60	$20	$12.8K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	12	20	90	$20	$8.4K
99318	Deleted code, effective Jan. 1, 2023	1	10	160	$20	$5.5K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frank Curvin	GA	Family Medicine Physician	$10.6M	$0
Patrick Antoine	GA	Internal Medicine Physician	$333.8K	$0
James Rogan	GA	Family Medicine Physician	$333K	$0
Sabine Doirin	GA	Family Nurse Practitioner	$271.8K	$0
Carla Bedford-dixon	GA	Hospice and Palliative Medicine (Family Medicine) Physician	$233.5K	$0
Inoka Devapriya	GA	General Practice Physician	$183K	$0
Terence Frinks	GA	Family Medicine Physician	$152.3K	$0
Ama Browne	GA	Family Nurse Practitioner	$39.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Clinical Laboratories Inc	GA	Clinical Medical Laboratory	$53.3M	$211.1M
Quest Diagnostics Clinical Laboratories Inc	GA	Clinical Medical Laboratory	$0	$3.7M
Atlanta Heart Specialists LLC	GA	Cardiovascular Disease Physician	$0	$2.2M
Jairus Robinson	GA	Clinical Social Worker	$0	$691.9K
Sandeep Chandra	GA	Interventional Cardiology Physician	$363.7K	$0
Zoubin Alikhani	GA	Clinical Cardiac Electrophysiology Physician	$354.8K	$0
David Song	GA	Interventional Cardiology Physician	$339K	$0
David Suh	GA	Cardiovascular Disease Physician	$318.4K	$0
Binu Kunjummen	GA	Interventional Cardiology Physician	$198.8K	$0
Bakhtiar Ali	GA	Interventional Cardiology Physician	$151.4K	$0

Vision Medical Consulting, P.C. — Billing Profile & Reimbursement Data

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Vision Medical Consulting, P.C. — 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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