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.

Hospital Authority Of Valdosta And Lowndes County Georgia (NPI 1306896253)

Field	Value
Entity Type	Organization
Organization	Hospital Authority Of Valdosta And Lowndes County Georgia
Address	2501 N Patterson St
City	Valdosta
State	GA
ZIP	31602
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Key Findings

This facility is effectively single‑payer in the available data: Medicare billing is listed as "none below — this provider has no Medicare billing on file" while total reported Medicaid revenue is $14M. The provider's NPI was enumerated on 2006-05-11 (~20 years ago), indicating long-standing operation despite the narrow payer footprint.

Revenue is highly concentrated in a small set of ED evaluation-and-management codes: the precomputed top 3 Medicaid codes account for 43.7% of the provider's total Medicaid revenue, driven by 99282 ($2M, 18.6%), 99283 ($1.8M, 16.3%), and 99284 ($960K, 8.8%). This concentration signals that a large share of Medicaid dollars flow through emergency department encounters rather than elective or specialty inpatient lines.

The code mix points to an emergency-centric general acute care operation with strong downstream diagnostic and observation activity: high-volume ED E/M codes (99282–99285) are complemented by observation hours G0378 ($476.2K) and advanced imaging such as 74177 ($780.3K) and 70450 ($378.4K). Frequent use of IV administration and hydration codes (96361 $301.8K, 96360 $173.7K, 96365 $135.9K, 96374 $156.1K) reinforces the picture of an ED treating acute medical problems and managing short-term observation stays.

99282 is a standout relative to state peers: it generates $2M of revenue and the provider "ranks #2 of 50 providers in-state (98th percentile; notably above typical state volume for this code)". That rank and the accompanying label indicate the hospital is a regional leader in straightforward ED visits for Medicaid patients and likely captures a disproportionate share of low-acuity emergency volume in its service area.

Several other service lines show above-typical state positioning for Medicaid: ambulance ALS A0427 ($419.1K) "ranks #2 of 21 providers in-state (95th percentile)" and ambulance BLS A0429 ($717.8K) "ranks #4 of 16 providers in-state (80th percentile)", while fetal monitoring 59025 ($360.2K) "ranks #4 of 41 providers in-state (93th percentile; notably above typical state volume for this code)" and 99211 ($185.5K) "ranks #4 of 151 providers in-state (98th percentile; notably above typical state volume for this code)". These placements suggest the hospital is an important provider of emergency transport, obstetric monitoring, and high-volume outpatient encounters for Medicaid beneficiaries.

Despite several high-ranking codes, many of the top Medicaid procedures fall into more typical statewide volumes: 99283 ($1.8M) "ranks #23 of 237 providers in-state (91th percentile; typical, unremarkable volume for this code)", 99284 ($960K) "ranks #33 of 231 providers in-state (86th percentile; typical, unremarkable volume for this code)", and 74177 ($780.3K) "ranks #26 of 70 providers in-state (64th percentile; typical, unremarkable volume for this code)". This pattern indicates the hospital combines a few dominant services with a broader set of routine acute-care activities that align with many peers rather than uniquely specialized tertiary services.

Operationally, the mix of high-volume ED E/M codes, ambulance transports, observation hours, and frequent diagnostics/labs (87633 $257.3K, 87637 $203.9K, 85025 $168.2K, 93005 $172.1K) is consistent with a community acute-care hospital that functions as a primary emergency and diagnostic hub for Medicaid patients in Valdosta. The presence of sizable CT, lab, and EKG revenue lines supports on-site diagnostic capacity necessary to sustain high ED throughput and short-term observation medicine.

From a revenue-risk perspective, the combination of a single‑payer Medicaid revenue base ($14M) and a heavy concentration of revenue in a small set of ED codes (top 3 = 43.7%) implies limited payer diversification and exposure to shifts in Medicaid payment policy or utilization management focused on emergency care. Strategic or contracting considerations should therefore prioritize Medicaid reimbursement trends, ambulance/EMS arrangements, and ED throughput metrics because changes in those areas would disproportionately affect this provider's financial profile.

Medicaid: Complete Services Breakdown

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

228 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	25,730	$80	$2M
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.	16,210	$110	$1.8M
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.	6,150	$160	$960K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,410	$550	$780.3K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	3,350	$210	$717.8K
G0378	Hospital observation service, per hour	4,580	$100	$476.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	1,650	$250	$419.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,920	$200	$378.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	5,720	$60	$360.2K
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.	1,700	$210	$356.2K

Showing 1–10 of 228

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

Hospital Authority Of Valdosta And Lowndes County Georgia — 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

228 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.	36	140	200	$280	$1.9M
G0378	Hospital observation service, per hour	8	20	2,070	$160	$1.1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	4	20	90	$140	$989.4K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	23	40	850	$70	$983K
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.	33	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.	23	240	170	$120	$779.3K
D9420	N/A	7	10	150	$1,150	$748.3K
A0425	Ground mileage, per statute mile	8	30	290	$50	$537.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	16	20	2,890	$140	$502.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	10	30	3,810	$70	$500.3K

Showing 1–10 of 228

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hospital Authority Of Valdosta And Lowndes County Georgia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Parker	GA	Urology Physician	$783.5K	$0
George Staton	GA	Cardiovascular Disease Physician	$532.4K	$0
Robert Collins	GA	Cardiovascular Disease Physician	$530.4K	$0
Tambrea Ellison	GA	Physical Medicine & Rehabilitation Physician	$509.4K	$0
Jennifer Dallas	NC	Hematology & Oncology Physician	$407.9K	$0
Jarod Bailey	GA	Internal Medicine Physician	$373.1K	$0
Arunas Urbonas	GA	Nephrology Physician	$348K	$0
Albert Richardson	GA	Vascular Surgery Physician	$325.9K	$0
Ibrahim Usman-oyowe	IL	Physical Medicine & Rehabilitation Physician	$279.2K	$0
Alford Brady	GA	Internal Medicine Physician	$276.9K	$0

Nearby Providers

Other providers in the same ZIP code as Hospital Authority Of Valdosta And Lowndes County Georgia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$212.2M
Southern Home Care Services, Inc.	GA	In Home Supportive Care Agency	$0	$42.9M
Behavioral Health Services Of South Georgia	GA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.1M
1st America Infusion Services LLC	GA	Home Infusion Therapy Pharmacy	$219.3K	$18.5M
Choices For Life Of Georgia, LLC	GA	Community/Behavioral Health Agency	$0	$9M
Valdosta Children's Healthcare Center ,LLC	GA	Pediatric Adolescent Medicine Physician	$0	$6.5M
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$6.5M
Paula Bennett	GA	Nurse Practitioner	$0	$3.2M
William Tidmore	GA	Rheumatology Physician	$2.8M	$0
Sgmp Southland LLC	GA	Psychiatry Physician	$0	$1.6M

Hospital Authority Of Valdosta And Lowndes County Georgia — 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