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.

Cartersville Ob-gyn Assoc PC (NPI 1154378198)

Cartersville Ob-gyn Assoc PC is a obstetrics & gynecology physician provider located in Cartersville, Georgia. This profile covers 0 Medicare and 15 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	Cartersville Ob-gyn Assoc PC
Address	958 Joe Frank Harris Pkwy Se
City	Cartersville
State	GA
ZIP	30120
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$222.6K
Medicare	$0

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

15 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…	2,210	$60	$128.1K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	20	$2,020	$48.6K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	150	$110	$17.6K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	230	$70	$14.9K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	60	$100	$5.9K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	20	$90	$2.1K
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	$2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	10	$110	$1.4K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	10	$100	$1.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	10	$70	$880

Showing 1–10 of 15

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

Cartersville Ob-gyn Assoc PC — 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	261	920	370	$60	$360.6K
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…	711	820	390	$70	$245K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	14	20	40	$1,810	$234.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	53	60	550	$50	$193.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	37	60	310	$90	$79.6K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	48	60	150	$70	$77.2K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	6	10	60	$100	$71.2K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	23	50	200	$60	$31.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	39	50	70	$90	$19.8K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	20	20	50	$90	$14.1K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cartersville Center, LLC	GA	Methadone Clinic	$129.1K	$701.8K
Muhammad Ishaque	GA	Nephrology Physician	$433.3K	$0
Respiratory Consultants Of Georgia LLC	GA	Pulmonary Disease Physician	$0	$413.1K
Maxwell Prempeh	GA	Interventional Cardiology Physician	$309.5K	$0
Afu Abdul	GA	Nephrology Physician	$291.2K	$0
Nonyelum Ejieke	GA	Rheumatology Physician	$256.7K	$0
Pamela Bridgeman	GA	Clinical Social Worker	$0	$226.4K
Jeffrey Proctor	GA	Urology Physician	$196.4K	$0
Yaman Tayara	GA	Specialist	$195.3K	$0
Sara Graves	GA	Family Nurse Practitioner	$183.3K	$0

Cartersville Ob-gyn Assoc PC — Billing Profile & Reimbursement Data

Sign up for Cartersville Ob-gyn Assoc PC — Billing Profile & Reimbursement Data policy alerts

Cartersville Ob-gyn Assoc PC — Billing Profile & Reimbursement Data

Sign up for Cartersville Ob-gyn Assoc PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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