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.

Wellstreet Of Georgia PC (NPI 1235411547)

Key Findings

Field	Value
Entity Type	Organization
Organization	Wellstreet Of Georgia PC
Address	1825 Highway 34 E Ste 1200
City	Newnan
State	GA
ZIP	30265
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	September 13, 2011

Payer Source	Total Paid
Medicaid	$42.5M
Medicare	$0

WELLSTREET OF GEORGIA PC has no Medicare billing on file and $42.5M in lifetime Medicaid revenue, so Medicaid is effectively the sole payer visible in these claims data. This payer concentration means any revenue, utilization, or compliance risk analyses should be focused on Medicaid trends and contracts rather than Medicare performance.

Revenue is highly concentrated in three evaluation-and-management codes: 99213 ($11.4M, 26.9%), 99214 ($10.4M, 24.5%), and 99203 ($9M, 21.3%), which together account for 72.7% of the provider’s Medicaid revenue. That level of concentration implies the practice’s financial performance is tightly linked to outpatient E/M visit volume and mix rather than ancillary services.

The code mix and volumes are characteristic of a high-throughput urgent care/ambulatory clinic: large counts for established- and new-patient office visits (99213: 97.4K claims; 99214: 90.4K claims; 99203: 77.3K claims) combined with very high after-hours visit activity (99051: 99.4K claims, $2.2M revenue, 5.2% of Medicaid revenue) support an extended-hours, walk-in operating model. High volumes of SARS–CoV–2 testing codes (87635: 34.8K claims, $799.8K; 87426: 51.5K claims, $669.6K) further indicate a large diagnostic testing throughput parallel to visit volume.

WELLSTREET is a statewide volume leader for its core E/M codes: 99214 ranks #3 of 824 in-state (100th percentile; extreme outlier), 99203 ranks #2 of 314 (100th percentile; extreme outlier), and 99213 ranks #7 of 917 (99th percentile; extreme outlier). Those ranks describe a dominant competitive position in Georgia for routine and moderate-complexity office/urgent-care visits.

Beyond visits, the provider reports extreme outlier volumes in rapid point-of-care and lab antigen/antibody testing codes—examples include 87880 (69.7K claims, $209.2K revenue; ranks #2 of 262, 100th percentile; extreme outlier) and 87804 (65.4K claims, $65.4K revenue; ranks #2 of 252, 100th percentile; extreme outlier). This breadth of high-volume diagnostic claims suggests operational emphasis on same-day testing and quick-turnaround diagnostics as a core service line.

The practice also delivers onsite minor procedures and imaging consistent with urgent care scope: 10060 incision and drainage (579 claims, $26.6K revenue; ranks #1 of 9, 100th percentile; notably above typical), injections under 96372 (13.7K claims, $54.7K revenue; ranks #5 of 133, 97th percentile; notably above typical), and chest x-ray 71046 (5.2K claims, $31.5K revenue; ranks #28 of 123, 78th percentile; typical). These entries indicate capability for immediate procedural management and basic radiology within the same facility.

The provider’s NPI was enumerated on 2011-09-13 (~15 years ago), indicating an established presence in the market. Coupled with sustained, very large claim counts across multiple codes (for example, 97.4K claims for 99213 and 90.4K claims for 99214), the data point toward a multi-year, high-volume outpatient operation rather than a transient or low-volume clinic.

Medicaid: Complete Services Breakdown

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

99 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…	97,390	$120	$11.4M
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…	90,360	$120	$10.4M
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…	77,280	$120	$9M
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…	50,060	$120	$5.9M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	99,410	$20	$2.2M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	34,770	$20	$799.8K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	51,510	$10	$669.6K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	4,030	$110	$434.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,030	$120	$351K
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,…	2,250	$120	$261.3K

Showing 1–10 of 99

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

Wellstreet Of Georgia PC — 19 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

99 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	5	10	900	$40	$638.4K
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…	7	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…	3	820	390	$70	$245K
80053	The 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.	82	100	460	$10	$159.9K
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,…	72	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…	2	310	90	$90	$136.3K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	2	50	100	$20	$119.1K
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…	28	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…	1	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…	95	120	400	$10	$75.8K

Showing 1–10 of 99

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hugh Thomas	FL	Family Medicine Physician	$770.5K	$0
Gregory Bennett	GA	Internal Medicine Physician	$122.8K	$730
Michael Poss	GA	Family Medicine Physician	$107K	$0
David Jones	GA	Internal Medicine Physician	$61.8K	$0
Denis Kim	PA	Emergency Medicine Physician	$55.1K	$0
Curtis Sorensen	GA	Family Medicine Physician	$52.7K	$0
Pamela Rubio	GA	Family Nurse Practitioner	$48.2K	$0
Farhad Yazdi	GA	Family Medicine Physician	$45.3K	$0
Cydney Wilbanks	GA	Physician Assistant	$44.1K	$0
John Lawrence	NJ	Family Medicine Physician	$43.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adonness Bell	GA	Family Nurse Practitioner	$53.9K	$5.6M
My Kidz Dentist, PC	GA	Pediatric Dentistry	$0	$3.9M
Vasileios Assikis	GA	Hematology & Oncology Physician	$3M	$0
Minesh Patel	GA	Hematology & Oncology Physician	$2.4M	$0
Oghenerukevwe Odiete	GA	Interventional Cardiology Physician	$1.2M	$0
Southern Bone & Joint Ambulatory Surgical Center, LLC	GA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Center For Pain And Spine, LLC	GA	Ambulatory Surgical Clinic/Center	$827.2K	$0
Derek Scott	GA	Physical Medicine & Rehabilitation Physician	$593.9K	$0
James Smith	GA	Physician Assistant	$576.9K	$0
Ayesha Faruqi	GA	Internal Medicine Physician	$262.5K	$0

Wellstreet Of Georgia PC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References