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.

Benjamin F. Towe, M.d., PC (NPI 1265487011)

Benjamin F. Towe, M.d., PC is a family medicine physician provider located in Martinez, Georgia. This profile covers 0 Medicare and 11 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	Benjamin F. Towe, M.d., PC
Address	210 Oak St
City	Martinez
State	GA
ZIP	30907
Taxonomy	Family Medicine Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$219.7K
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,420	$50	$212.2K
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…	100	$70	$6.7K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	120	$1	$370
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	40	$1	$160
90661	This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.…	20	$10	$140
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	20	$1	$70
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	20	$0	$0
3048F	The LDL C test (low density lipoprotein cholesterol test) is a lipid profile test which shows the levels of cholesterol in the blood. The provider uses the test to determine the patient’s risk of…	70	$0	$0
G0008	Administration of influenza virus vaccine	70	$0	$0
G8752	Most recent systolic blood pressure < 140 mmhg	110	$0	$0

Showing 1–10 of 11

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

Benjamin F. Towe, M.d., PC — 0 of 6 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	128	820	390	$70	$245K
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…	104	160	180	$80	$68K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	35	40	260	$1	$5.1K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	3	20	40	$10	$620
90661	This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.…	6	10	50	$1	$230
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	56	70	80	$1	$230
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	17	20	120	$1	$30
G0008	Administration of influenza virus vaccine	21	60	30	$1	$10
3048F	The LDL C test (low density lipoprotein cholesterol test) is a lipid profile test which shows the levels of cholesterol in the blood. The provider uses the test to determine the patient’s risk of…	8	10	110	$0	$0
G8752	Most recent systolic blood pressure < 140 mmhg	11	10	440	$0	$0

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dental Specialists, P.C.	GA	Pediatric Dentistry	$0	$4.9M
Bencor Medical LLC	GA	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Gold Cross Ems, Inc.	GA	Land Ambulance	$2.5M	$618.6K
Still Waters Professional Counseling Services, Inc.	GA	Community/Behavioral Health Agency	$0	$2.9M
Caring Together, Inc	GA	Assisted Living Facility	$0	$1.7M
Able Kids Services LLC	GA	Behavior Analyst	$0	$1.5M
Leann Jean	GA	Professional Counselor	$0	$920.8K
Allison Paine	GA	Dermatology Physician	$450.1K	$0
John Downey	GA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$419.1K	$0
Cheryl Carswell	GA	Professional Counselor	$0	$348.4K

Benjamin F. Towe, M.d., PC — Billing Profile & Reimbursement Data

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Benjamin F. Towe, M.d., PC — 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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