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    OpenPayerNPI Medicare & MedicaidKaiser Foundation Health Plan Of Georgia Inc.
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    Kaiser Foundation Health Plan Of Georgia Inc. — Billing Profile & Reimbursement Data

    NPI 1306009931 · Jonesboro, GA · Clinical Medical Laboratory

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    Kaiser Foundation Health Plan Of Georgia Inc. is a clinical medical laboratory provider located in Jonesboro, Georgia. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKaiser Foundation Health Plan Of Georgia Inc.
    Address2400 Mount Zion Pkwy
    CityJonesboro
    StateGA
    ZIP30236
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 3, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$11.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    85025A 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…260$10$2.1K
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…140$10$1.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.140$10$1.4K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…40$40$1.3K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…140$10$1.1K
    82550The lab analyst measures the amount of total creatine kinase in a patient specimen. Creatine kinase, or CK, is an enzyme found in various tissue and cell types such as the heart, brain, or muscles…70$10$420
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…70$10$420
    83690The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat.50$10$370
    83605The lab analyst measures the lactate, most often in a blood or plasma sample. Lactate, also known as lactic acid, is the end product of anaerobic carbohydrate metabolism produced primarily by muscle…30$10$330
    85379The lab analyst performs a test using patient plasma to measure the level of D–dimer in the specimen.30$10$330

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053439770190$10$9.7K
    83880246030$40$7.9K
    850253741,030140$10$5.2K
    85730410170$10$4.8K
    850274611050$10$4.1K
    80076658060$10$2.8K
    8614010513050$10$2.3K
    8373512020050$10$2.2K
    800487139050$10$2.2K
    825503410040$10$2.2K

    Showing 1–10 of 22

    Nearby Providers

    Other providers in the same ZIP code as Kaiser Foundation Health Plan Of Georgia Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dewayne GrantGAProfessional Counselor$0$1.1M
    Willie JonesGAProfessional Counselor$0$915.7K
    Clayton County Board Of CommissionersGALand Ambulance$894.6K$0
    Pinnacle Ambulance LLCGAAmbulance$618.2K$0
    Positive Outlook, LLPGASpeech-Language Pathologist$0$587.1K
    Clayton Community Mental Health Substance Abuse Deve Svcs BoardGAMental Health Clinic/Center (Including Community Mental Health Center)$0$554.6K
    Rachel BenefieldGAProfessional Counselor$0$447.5K
    Annapurna BhatGARheumatology Physician$410.4K$0
    Finetra ChambersGAMental Health Counselor$0$335K
    Jay PatelGAVascular & Interventional Radiology Physician$303.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Kaiser Foundation Health Plan Of Georgia Inc. — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia