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.

Southside Medical Center, Inc. (NPI 1235123993)

Field	Value
Entity Type	Organization
Organization	Southside Medical Center, Inc.
Address	1046 Ridge Ave Sw
City	Atlanta
State	GA
ZIP	30315
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 8, 2005

Payer Source	Total Paid
Medicaid	$28.9M
Medicare	$0

Key Findings

SOUTHSIDE MEDICAL CENTER, INC. is effectively a Medicaid-focused Federally Qualified Health Center: there is no Medicare billing on file while total Medicaid revenue is $28.9M, so the provider’s commercial footprint for Medicare is nil and its operations appear primarily supported by Medicaid funding. The NPI was enumerated on 2005-09-08 (~21 years ago), indicating long-standing presence in the Atlanta market.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 65.6% of the provider's total Medicaid revenue, signaling that a small set of outpatient E/M services are the primary revenue drivers for this organization. This concentration suggests operational dependence on high-volume primary care or ambulatory visit codes.

The single largest Medicaid revenue driver is 99212 (office visit, established patient), with $8.2M in revenue (29.5% of total Medicaid revenue) and 85.3K claims; the provider ranks #2 of 356 in-state and is described as an extreme outlier, indicating it is a dominant statewide provider of low-complexity established outpatient visits. High volume in 99212 implies heavy reliance on brief E/M visits as a core service line.

99213 and 99214 are also major contributors, with $7.2M (25.8%) and $2.8M (10.2%) respectively; 99213 ranks #11 of 917 and 99214 ranks #23 of 824 in-state (99th and 97th percentiles). Together these mid- and moderate-complexity E/M codes reinforce that primary care and ambulatory evaluation-and-management encounters comprise the bulk of clinical activity and revenue.

Several preventive and pediatric well-visit codes (99391, 99392, 99393, 99394, 99395, 99396, 99383, 99384) appear throughout the top codes list with notable rank positions, including multiple #1 ranks in-state for age-based well visits (e.g., 99395, 99396, 99383, 99384). This pattern indicates a substantial preventive care and pediatric service line, supporting a broad primary care scope beyond problem-focused visits.

The provider also reports notable dental and vaccination activity (D0150, D0140, D0220, D7140, D1120, D1110, D1206, and 90460) and behavioral-health-related billing (H0020, 90837), which suggests an integrated FQHC model offering dental, immunization, and substance-use or mental-health services alongside primary medical care. These ancillary lines contribute smaller shares individually but reflect diversified service offerings.

Competitive standing across specific codes is strong: multiple codes are labeled as extreme outlier or notably above typical state volume (e.g., 99212 extreme outlier at 100th percentile; 99395, 99383, 99384 at 100th percentile), indicating SOUTHSIDE operates at volumes far above most peers on several primary care and pediatric services in Georgia. At the same time, some codes (e.g., 90837, D1120) are at more typical percentiles, showing the provider is a leader for core FQHC services but a more standard participant in certain ancillary areas.

Operational risk from concentration should be noted: because 65.6% of Medicaid revenue comes from the top three codes—primarily E/M visits—any shifts in Medicaid policy, reimbursement for outpatient E/M, or local patient visit patterns could disproportionately affect revenue. The mix nevertheless aligns with an FQHC model focused on high-volume ambulatory care and preventive services.

Medicaid: Complete Services Breakdown

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

190 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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,…	85,290	$100	$8.2M
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…	75,340	$100	$7.2M
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…	30,840	$90	$2.8M
D0999	N/A	29,750	$70	$2.1M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	47,710	$20	$1.1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,450	$110	$722.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,150	$110	$700.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,050	$110	$683.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,220	$120	$605.6K
D0150	Comprehensive oral evaluation – new or established patient	12,460	$50	$585.4K

Showing 1–10 of 190

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

Southside Medical Center, Inc. — 14 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

190 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	8	20	470	$150	$1.1M
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.	166	240	170	$120	$779.3K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2	10	24,960	$20	$555.3K
D0999	N/A	1	10	2,280	$80	$470.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	57	70	2,840	$30	$428.7K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	13	20	290	$180	$423.2K
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…	11	920	370	$60	$360.6K
D2392	Post 2 surface resin‑based composite	34	80	270	$90	$262.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	19	50	260	$110	$248.9K
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…	23	820	390	$70	$245K

Showing 1–10 of 190

Nearby Providers

Other providers in the same ZIP code as Southside Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dva Healthcare Renal Care Inc	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$910.5K
Ft Medical Group, LLC	GA	Clinical Medical Laboratory	$568K	$177.5K
Ngozi Orabueze	GA	Family Nurse Practitioner	$500K	$0
Quality Care Medical Transportation, LLC	GA	Land Ambulance	$339.9K	$0
Patrick Antoine	GA	Internal Medicine Physician	$333.8K	$0
Taylor Addison	GA	Pediatric Dentistry	$0	$295.7K
Ahmed Nassar	GA	Ophthalmology Physician	$96.2K	$0

Southside Medical Center, Inc. — Billing Profile & Reimbursement Data

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Southside Medical Center, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References