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.

Georgia Emergency Physician Specialists (NPI 1285685156)

Key Findings

Field	Value
Entity Type	Organization
Organization	Georgia Emergency Physician Specialists
Address	4700 Waters Ave
City	Savannah
State	GA
ZIP	31404
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

This provider is effectively a Medicaid-only biller at scale: total Medicaid revenue is $12.7M and there is no Medicare billing on file. The absence of Medicare revenue means analysis of payer mix and contracting should treat this entity as predominantly dependent on Medicaid reimbursement streams.

Revenue is extremely concentrated in three emergency department E/M codes: the top 3 Medicaid codes account for 96.6% of the provider's total Medicaid revenue. Those codes are 99284 ($5.8M, 45.6% of total), 99285 ($3.5M, 27.6% of total), and 99283 ($3.0M, 23.3% of total), indicating nearly all Medicaid dollars are driven by ED visit E/M billing.

The code mix points to a high-volume emergency medicine operation: 99284, 99285, and 99283 are all ED evaluation-and-management services that together dominate receipts. The preponderance of moderate- and high-acuity ED E/M codes (99284 and 99285) implies the group is structured to handle a large and sustained emergency department caseload, rather than primary care or office-based services.

Competitive standing within Georgia is strong on core ED services. The provider ranks #2 of 231 in-state for 99284 and is labeled an "extreme outlier," with 92.2K claims for that code; it also ranks #5 of 139 for 99285 (47.5K claims, "notably above typical") and #6 of 237 for 99283 (63.2K claims, "notably above typical"), supporting characterization as a dominant statewide player for Medicaid ED volume.

Ancillary and episodic services represent a small share of revenue despite large claim counts for some items: 93010 appears with 22.6K claims but only $90.6K in revenue (0.7% of Medicaid revenue), and critical care 99291 shows 557 claims and $41.8K (0.3%). This suggests the practice provides standard ED diagnostics and occasional critical care but that these ancillary services are not material revenue drivers compared with ED E/M visits.

High revenue concentration in three ED E/M codes creates operational and reimbursement sensitivity: because 96.6% of Medicaid revenue stems from 99284/99285/99283, changes in Medicaid policy, coding guidance, or visit volume for those specific codes would disproportionately affect overall revenue. Payers and analysts should consider this concentration when modeling financial impact of reimbursement changes or utilization management for ED services.

The provider has longstanding market presence, with an NPI enumeration date of 2006-05-15 (~20 years ago). Combined with the high statewide ranks on core ED codes, the tenure supports that this is an established emergency medicine provider in the Savannah market and broader Georgia Medicaid ecosystem.

The absence of Medicare billing narrows contracting and population risk considerations: with no Medicare on file, the provider’s payer exposure is heavily skewed to Medicaid, which affects revenue diversification and may influence negotiations, network strategy, and the importance of Medicaid rate development for the provider's financial stability.

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	92,160	$60	$5.8M
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.	47,500	$70	$3.5M
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.	63,190	$50	$3M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22,650	$1	$90.6K
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…	1,330	$70	$89K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	560	$80	$41.8K
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.	720	$50	$36.7K
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…	290	$110	$30.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	240	$110	$25.3K
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,…	530	$40	$21.3K

Showing 1–10 of 46

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

Georgia Emergency Physician Specialists — 3 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

46 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.	5	140	200	$280	$1.9M
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.	2	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.	6	240	170	$120	$779.3K
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…	310	920	370	$60	$360.6K
T1015	Clinic visit/encounter, all-inclusive	36	50	100	$100	$293.2K
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…	441	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…	111	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…	138	180	720	$90	$204.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	15	50	180	$220	$177.6K
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.	118	250	660	$40	$172.7K

Showing 1–10 of 46

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Savannah Children's Heart Center, PC	GA	Pediatric Cardiology Physician	$0	$10.2M
Pediatric Associates Of Savannah, P.C.	GA	Pediatrics Physician	$0	$8.8M
Robin Ray	GA	Ophthalmology Physician	$3.5M	$0
Robert King	GA	Ophthalmology Physician	$3.4M	$0
Mppg, Inc.	GA	Family Medicine Physician	$0	$2.8M
Anchor Medical LLC	GA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Dean Stephens	GA	Rheumatology Physician	$2.7M	$0
Charles Degenhardt	GA	Rheumatology Physician	$2.4M	$0
Atlantic Radiology Associates, LLC	GA	Diagnostic Radiology Physician	$0	$2.3M
Georgia Eye Surgicenter, LLC	GA	Ambulatory Surgical Clinic/Center	$1.9M	$0

Georgia Emergency Physician Specialists — Billing Profile & Reimbursement Data

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Georgia Emergency Physician Specialists — 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