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.

Arc Of Georgia, LLC (NPI 1225023021)

Field	Value
Entity Type	Organization
Organization	Arc Of Georgia, LLC
Address	3243 Glynn Ave
City	Brunswick
State	GA
ZIP	31520
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 18, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	20	$18,200	$382.1K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	40	$6,550	$242.5K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	190	$780	$143.9K
0275T	N/A	40	$3,530	$134.1K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	30	$3,540	$120.5K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	10	$6,990	$83.8K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	20	$2,310	$50.8K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	190	$240	$45.4K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$1,320	$37K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	40	$430	$17.1K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Arc Of Georgia, LLC — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	5	40	10	$7,580	$121.3K
66984	210	410	190	$160	$103.1K
63650	36	50	40	$1,890	$81.4K
27447	114	360	30	$1,500	$61.5K
0275T	3	10	30	$2,160	$56K
27130	193	210	30	$1,450	$49.4K
15823	27	60	40	$520	$23.5K
29827	20	110	20	$1,100	$22.1K
66982	60	110	20	$490	$21.9K
29828	6	30	20	$1,110	$21.1K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Arc Of Georgia, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paradigm Labs, LLC	GA	Clinical Medical Laboratory	$3.1M	$19.6M
Gateway Community Service Board	GA	Community/Behavioral Health Agency	$0	$22.4M
Emergency Physicians Inc	GA	Emergency Medicine Physician	$0	$7.6M
Emmanuel Gage	GA	Interventional Pain Medicine Physician	$1.1M	$0
Seaside Surgical, LLC	GA	Ophthalmologic Surgery Clinic/Center	$1M	$0
Diana L. Walther, Ph.d. PC	GA	Psychologist	$0	$841.2K
Edward Dipreta	GA	Dermatology Physician	$584.1K	$0
Ahmed Elsharkawi	GA	Nephrology Physician	$497K	$0
Mark Watkins	GA	Specialist	$485.6K	$0
Bonnie Brooks	GA	Ophthalmology Physician	$448.3K	$0

Arc Of Georgia, LLC — Billing Profile & Reimbursement Data

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Arc Of Georgia, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References