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.

Hughston Clinic, P.C. (NPI 1164461190)

Hughston Clinic, P.C. is a orthopaedic surgery physician provider located in Columbus, Georgia. This profile covers 0 Medicare and 28 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	Hughston Clinic, P.C.
Address	6262 Veterans Pkwy
City	Columbus
State	GA
ZIP	31909
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$789.9K
Medicare	$0

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

28 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…	9,810	$30	$245.3K
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…	4,270	$50	$230.3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	3,380	$20	$81K
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…	960	$80	$80K
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…	1,750	$40	$69.8K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	2,270	$10	$20.4K
73090	In this procedure, the provider takes two X–ray views of a patient’s forearm to check for any fracture, swelling, or reason of pain in the forearm area.	750	$20	$15.8K
25600	The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…	50	$190	$9.1K
99283	The 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.	170	$50	$8.2K
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,…	230	$30	$6.5K

Showing 1–10 of 28

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

Hughston Clinic, P.C. — 3 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The 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.	199	230	120	$170	$937.5K
99283	The 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.	117	240	170	$120	$779.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	39	60	730	$60	$362.1K
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…	110	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…	231	820	390	$70	$245K
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,…	206	360	370	$50	$153.6K
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…	16	310	90	$90	$136.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	87	120	590	$20	$118.3K
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…	33	230	100	$110	$97.1K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	109	120	400	$10	$75.8K

Showing 1–10 of 28

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals West Georgia, Inc	GA	Developmentally Disabled Services Day Training Agency	$0	$14.3M
Rivertown Psychiatry, PC	GA	Psychiatry Physician	$0	$4.2M
North Columbus Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Hughston Surgical Center LLC	GA	Ambulatory Surgical Clinic/Center	$589.8K	$0
Pediatric Acute Care Of Columbus, P.C.	GA	Pediatrics Physician	$0	$376.3K
Hares Akbary	GA	Pain Medicine (Anesthesiology) Physician	$331.8K	$0
The Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$224.6K	$0
Josue Becerra	GA	Psychiatry Physician	$196.5K	$27.8K
Daniel Serrato	GA	Interventional Pain Medicine Physician	$223.1K	$0
David Gloystein	GA	Orthopaedic Surgery of the Spine Physician	$203.1K	$0

Hughston Clinic, P.C. — Billing Profile & Reimbursement Data

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Hughston Clinic, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Dorchak	GA	Orthopaedic Surgery Physician	$458.7K	$0
Garland Gudger	GA	Orthopaedic Surgery Physician	$350.4K	$0
Dustin Gay	GA	Orthopaedic Surgery Physician	$306.3K	$0
Brook Bearden	GA	Orthopaedic Surgery Physician	$296.5K	$0
Randall Ruark	GA	Orthopaedic Surgery Physician	$291.5K	$0
Matthew Sarb	TN	Orthopaedic Surgery Physician	$286.5K	$0
Patrick Fernicola	GA	Orthopaedic Surgery Physician	$239.5K	$0
Ryan Geringer	GA	Orthopaedic Surgery Physician	$224.4K	$0
Douglas Pahl	GA	Orthopaedic Surgery Physician	$217.9K	$0
Lance Westerlund	GA	Orthopaedic Surgery of the Spine Physician	$211.9K	$0