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    OpenPayerNPI Medicare & MedicaidValdosta Family Medicine Associates, P.C.
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    Valdosta Family Medicine Associates, P.C. — Billing Profile & Reimbursement Data

    NPI 1114003779 · Valdosta, GA · Family Medicine Physician

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    Valdosta Family Medicine Associates, P.C. is a family medicine physician provider located in Valdosta, Georgia. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationValdosta Family Medicine Associates, P.C.
    Address2412 N Oak St
    CityValdosta
    StateGA
    ZIP31602
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$375.4K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…9,930$30$278.2K
    99213The 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…2,460$20$54.1K
    90460In 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.360$30$12.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,690$10$8.4K
    J0897Injection, denosumab, 1 mg20$280$5.8K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…1,230$1$3.7K
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.1,490$1$3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,060$1$2.1K
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.1,560$1$1.6K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.10$100$1.2K

    Showing 1–10 of 33

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Georgia median

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.222230120$170$937.5K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.217240170$120$779.3K
    99213The 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…248920370$60$360.6K
    99214The 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…72820390$70$245K
    J0897Injection, denosumab, 1 mg41030$610$223K
    90460In 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.152250660$40$172.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.37100460$10$159.9K
    99212The 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,…301360370$50$153.6K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.146160190$110$129.7K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.1420160$180$99.9K

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Valdosta Family Medicine Associates, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William TidmoreGARheumatology Physician$2.8M$0
    Michael YuzFLDiagnostic Radiology Physician$410.4K$92.4K
    Leon SmithGAFamily Medicine Physician$370.4K$0
    Robert BennettGAFamily Medicine Physician$247.2K$0
    James CollinsAZDiagnostic Radiology Physician$195.9K$12K
    Jennifer LawrenceGAEndocrinology, Diabetes & Metabolism Physician$194.4K$0
    Craig BishopGAFamily Medicine Physician$163.8K$0
    Aamer FarookiPADiagnostic Radiology Physician$71.8K$8K
    Steven DileoCODiagnostic Radiology Physician$38.3K$7.4K

    Nearby Providers

    Other providers in the same ZIP code as Valdosta Family Medicine Associates, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Home Care Services, Inc.GAHome Health Agency$0$212.2M
    Southern Home Care Services, Inc.GAIn Home Supportive Care Agency$0$42.9M
    Behavioral Health Services Of South GeorgiaGAMental Health Clinic/Center (Including Community Mental Health Center)$0$30.1M
    1st America Infusion Services LLCGAHome Infusion Therapy Pharmacy$219.3K$18.5M
    Hospital Authority Of Valdosta And Lowndes County GeorgiaGAGeneral Acute Care Hospital$0$14M
    Choices For Life Of Georgia, LLCGACommunity/Behavioral Health Agency$0$9M
    Valdosta Children's Healthcare Center ,LLCGAPediatric Adolescent Medicine Physician$0$6.5M
    Southern Home Care Services, Inc.GAHome Health Agency$0$6.5M
    Paula BennettGANurse Practitioner$0$3.2M
    Sgmp Southland LLCGAPsychiatry Physician$0$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Georgia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Valdosta Family Medicine Associates, P.C. — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia