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.

The Medical Center Inc (NPI 1255401519)

The Medical Center Inc is a general acute care hospital provider located in Columbus, Georgia. This profile covers 0 Medicare and 38 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	The Medical Center Inc
Address	710 Center St
City	Columbus
State	GA
ZIP	31901
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	14,730	$30	$471.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10,870	$30	$358.6K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	1,990	$40	$73.7K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	1,510	$40	$54.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,390	$30	$36.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	120	$230	$27.3K
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…	580	$40	$23.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,930	$10	$20.5K
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…	700	$30	$18.1K
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…	280	$60	$17.8K

Showing 1–10 of 38

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

The Medical Center Inc — 0 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	79	140	200	$280	$1.9M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	7	10	1,280	$270	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	31	40	850	$70	$983K
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.	91	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.	27	240	170	$120	$779.3K
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…	12	20	290	$180	$423.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7	50	600	$90	$409.7K
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…	469	920	370	$60	$360.6K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	18	40	220	$70	$299.7K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	4	20	420	$80	$255K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Pediatric Physicians LLC	GA	Pediatrics Physician	$0	$4.5M
Piedmont Hospitalist Physicians LLC	GA	Family Medicine Physician	$0	$3.6M
Clifford Tillman	LA	Gastroenterology Physician	$439.4K	$268.7K
Amy Kingman	GA	Cardiovascular Disease Physician	$641.2K	$0
Josue Medina	TX	Phlebology Physician	$624.5K	$0
Brion Lock	GA	Pulmonary Disease Physician	$552.6K	$0
Piedmont Hospital, Inc	GA	General Acute Care Hospital	$0	$542.7K
Faizan Shaikh	GA	Internal Medicine Physician	$431K	$0
Mobin Shah	GA	Hospitalist Physician	$380.8K	$0
Srilakshmi Rebala	GA	Nephrology Physician	$377.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neonatology Associates Of Columbus PC	GA	Neonatal-Perinatal Medicine Physician	$0	$6M
Nora Tan-ngo Md Pediatrics PC	GA	Pediatrics Physician	$0	$2.3M
Emergency Group Of Columbus, LLC	GA	Emergency Medicine Physician	$0	$941.7K
Columbus Ambulatory Healthcare Services, Inc.	GA	Family Medicine Physician	$0	$882.5K
Paul R. Steinwachs, Md PC	GA	Pediatrics Physician	$0	$777.1K
Metro Treatment Of Georgia L P	GA	Methadone Clinic	$83.9K	$519.2K
Lauren Smith	GA	Podiatrist	$424.2K	$0
Columbus Children's Clinic	GA	Pediatrics Physician	$0	$364.7K
Harvey Harris	GA	Internal Medicine Physician	$324K	$0
Stephen Raborn	GA	Specialist	$310.3K	$0

The Medical Center Inc — Billing Profile & Reimbursement Data

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The Medical Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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