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.

Oconee Valley Healthcare Inc (NPI 1255433736)

Field	Value
Entity Type	Organization
Organization	Oconee Valley Healthcare Inc
Address	803 S Main St
City	Greensboro
State	GA
ZIP	30642
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 4, 2006

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 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…	27,810	$80	$2.1M
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…	14,080	$60	$844.6K
D0999	N/A	3,490	$100	$363.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	7,050	$30	$183.4K
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,…	1,270	$90	$118.9K
D0140	Limited oral evaluation – problem focused	640	$60	$38.6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	1,830	$20	$36.6K
D0150	Comprehensive oral evaluation – new or established patient	1,160	$30	$36.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	830	$30	$27.3K
D1120	Prophylaxis–child	1,140	$20	$25K

Showing 1–10 of 66

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

Oconee Valley Healthcare Inc — 2 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	4	10	2,280	$80	$470.3K
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…	42	920	370	$60	$360.6K
D2392	Post 2 surface resin‑based composite	41	80	270	$90	$262.3K
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…	53	820	390	$70	$245K
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…	123	180	680	$90	$226.7K
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…	146	180	720	$90	$204.2K
D2391	Resin‑based composite – one surface, posterior	42	60	190	$80	$186.8K
D1120	Prophylaxis–child	57	140	620	$30	$173.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	116	250	660	$40	$172.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	117	170	500	$100	$170.6K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oconee Valley Healthcare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Itoro Edet Daniels	GA	Internal Medicine Physician	$82.9K	$0
Beverly Cadwallader	GA	Medical Physician Assistant	$60.3K	$0
Dave Ringer	GA	Family Medicine Physician	$3.5K	$0

Nearby Providers

Other providers in the same ZIP code as Oconee Valley Healthcare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Good Samaritan Hospital, Inc.	GA	Medicare Defined Swing Bed Hospital Unit	$0	$5.1M
Robert Cowles	GA	Urology Physician	$593.9K	$0
John Manfredi	GA	Orthopaedic Surgery Physician	$480.6K	$0
Thomas Parent	GA	Orthopaedic Surgery Physician	$362.5K	$0
Dennis Wood	GA	Physical Therapist	$301.9K	$0
Christopher Alligood	GA	Physical Therapist	$238.1K	$0
Publix Super Markets Inc	GA	Community/Retail Pharmacy	$237.8K	$0
Julian Hutchins	GA	Internal Medicine Physician	$201.6K	$0
Allison Menke	GA	Foot & Ankle Surgery Podiatrist	$197.2K	$0
Jonathan Fass	GA	Dermatology Physician	$174.9K	$0

Oconee Valley Healthcare Inc — Billing Profile & Reimbursement Data

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Oconee Valley Healthcare 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

Related Providers

Nearby Providers

Frequently Asked Questions

References