Renee L Waters, Md PC — Billing Profile & Reimbursement Data
NPI 1346462801 · Cumming, GA · Pediatrics Physician
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Renee L Waters, Md PC is a pediatrics physician provider located in Cumming, Georgia. This profile covers 0 Medicare and 39 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Renee L Waters, Md PC |
| Address | 285 Elm St |
| City | Cumming |
| State | GA |
| ZIP | 30040 |
| Taxonomy | Pediatrics Physician |
| NPI Enumerated | May 3, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
39 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10,650 | $70 | $713.4K |
| 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… | 3,550 | $90 | $322.8K |
| 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… | 1,340 | $90 | $123.3K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 7,250 | $10 | $101.5K |
| 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. | 2,010 | $40 | $88.3K |
| 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… | 900 | $90 | $78.3K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 740 | $100 | $72.8K |
| 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… | 490 | $120 | $60K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 2,940 | $20 | $47K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 630 | $30 | $21.4K |
Showing 1–10 of 39
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
39 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 103 | 920 | 370 | $60 | $360.6K |
| 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… | 150 | 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… | 76 | 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… | 83 | 180 | 720 | $90 | $204.2K |
| 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. | 99 | 250 | 660 | $40 | $172.7K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 72 | 170 | 500 | $100 | $170.6K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 143 | 360 | 370 | $50 | $153.6K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 94 | 160 | 190 | $110 | $129.7K |
| 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… | 50 | 160 | 180 | $80 | $68K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 53 | 100 | 180 | $40 | $54.2K |
Showing 1–10 of 39
Nearby Providers
Other providers in the same ZIP code as Renee L Waters, Md PC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Children And Teen Dental Group | GA | General Practice Dentistry | $0 | $7.3M |
| Jagindra Mangru | GA | Rheumatology Physician | $1.6M | $0 |
| Madhavi Rayapudi | GA | Infectious Disease Physician | $1.2M | $0 |
| Vikram Khetpal | GA | Cardiovascular Disease Physician | $912.2K | $0 |
| Scott Beach | GA | Cardiovascular Disease Physician | $842K | $0 |
| Mehul Bhatt | GA | Interventional Cardiology Physician | $718.2K | $0 |
| Aman Kakkar | GA | Cardiovascular Disease Physician | $716.3K | $0 |
| Omar Khan | GA | Rheumatology Physician | $624.3K | $0 |
| Nathan Cleaver | GA | Dermatology Physician | $594.3K | $0 |
| Anupama Sharma | GA | Dentist | $0 | $565.9K |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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