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.

Lentz Urgent Care & Family Med, Inc (NPI 1265836472)

Field	Value
Entity Type	Organization
Organization	Lentz Urgent Care & Family Med, Inc
Address	182 Sunset Blvd
City	Jesup
State	GA
ZIP	31545
Taxonomy	Family Medicine Physician
NPI Enumerated	October 17, 2014

Payer Source	Total Paid
Medicaid	$677.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	7,170	$80	$537.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	5,470	$20	$82K
J1040	Injection, methylprednisolone acetate, 80 mg	4,720	$10	$47.2K
99205	The provider sees a new 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 provider…	40	$80	$3.4K
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…	50	$50	$2.9K
J1030	Injection, methylprednisolone acetate, 40 mg	700	$1	$2.8K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	80	$20	$1.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	$10	$420
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,…	10	$30	$400
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$0	$0

Showing 1–10 of 12

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

Lentz Urgent Care & Family Med, Inc — 2 of 9 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

12 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…	635	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…	4	160	180	$80	$68K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	18	130	480	$20	$59.9K
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,…	154	160	260	$30	$54.2K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	49	80	190	$30	$49.9K
99205	The provider sees a new 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 provider…	28	60	40	$120	$30.6K
J1040	Injection, methylprednisolone acetate, 80 mg	1	30	90	$10	$3.5K
J1030	Injection, methylprednisolone acetate, 40 mg	8	20	310	$1	$2.1K
J1010	Injection, methylprednisolone acetate, 1 mg	6	10	50	$1	$160
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	10	20	60	$1	$80

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Lentz Urgent Care & Family Med, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rabessler Md PC	GA	Internal Medicine Physician	$0	$5.1M
Wayne Emergency Group LLC	GA	Emergency Medicine Physician	$0	$2.4M
Air Evac Ems Inc	GA	Air Ambulance	$516.8K	$0
Mark Byron	GA	Urology Physician	$446.4K	$0
Robert Pumpelly	GA	Internal Medicine Physician	$316.1K	$45K
Wayne County Ambulance Service	GA	Land Ambulance	$350.3K	$0
Sydney Hendrix	GA	Internal Medicine Physician	$327.7K	$0
Jeffrey Harris	GA	Obstetrics & Gynecology Physician	$4.5K	$282.4K
Elizabeth Crandall	GA	Ophthalmology Physician	$261.1K	$0
Heather Tyre	GA	Physician Assistant	$210.2K	$0

Lentz Urgent Care & Family Med, Inc — Billing Profile & Reimbursement Data

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Lentz Urgent Care & Family Med, 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

Nearby Providers

Frequently Asked Questions

References