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.

Savannah Children's Heart Center, PC (NPI 1356450910)

Key Findings

Field	Value
Entity Type	Organization
Organization	Savannah Children's Heart Center, PC
Address	4750 Waters Ave
City	Savannah
State	GA
ZIP	31404
Taxonomy	Pediatric Cardiology Physician
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

This provider is effectively a Medicaid-focused practice: lifetime Medicaid revenue is $10.2M and there is no Medicare billing on file. The absence of Medicare activity indicates a single‑payer operational footprint concentrated on pediatric Medicaid populations rather than dual Medicare/Medicaid case-mix exposure.

Revenue is highly concentrated in a narrow set of cardiac imaging codes: the top three Medicaid codes (93303, 93325, 93320) account for 67.5% of this provider's total Medicaid revenue. Individually those codes represent $3.6M (35.4%), $1.8M (17.7%), and $1.5M (14.4%) of Medicaid revenue, respectively, signaling dependence on echocardiography services for the bulk of billing.

The code mix—dominated by 93303, 93325, and 93320—reflects an operation centered on transthoracic and Doppler echocardiography with routine use of Doppler color flow mapping and spectral Doppler techniques. Ancillary diagnostics such as 93000 (electrocardiogram) and 93224 (ambulatory ECG monitoring) further indicate an integrated outpatient pediatric cardiology imaging and monitoring service line rather than a pure consult-only practice.

On state competitive standing for echo services this provider is a major player: 93303 ranks #2 of 11 providers in-state (90th percentile; notably above typical state volume), 93325 ranks #2 of 21 (95th percentile; typical, unremarkable volume for this code), and 93320 ranks #2 of 13 (92th percentile; notably above typical state volume). These rank/percentile positions indicate the provider operates near the top of in-state peers for high-volume pediatric echocardiography.

High-complexity outpatient evaluation and management is also a material revenue source: 99215 generated 6.6K claims and $813.3K in Medicaid revenue (7.9%) and ranks #6 of 164 providers in-state (97th percentile; extreme outlier, far above typical state volume). The presence of 99244 ($741K, 7.2%) and other higher-level E/M codes shows substantial consultative and management activity alongside imaging services.

Operational throughput is large for an outpatient pediatric cardiology practice: the top echocardiography and ECG codes show very high claim counts (93303 23.2K claims, 93325 23.8K claims, 93320 23.4K claims, 93000 23.1K claims). These volumes are consistent with a dedicated echo lab and continuous scheduling capacity rather than occasional imaging on a consultative basis.

The provider has long tenure in the NPI registry (NPI enumerated 2006-08-29 (~20 years ago)), which together with its top-state rankings for key codes suggests an established pediatric cardiology practice with sustained referral relationships and a stable service footprint. Longevity plus concentrated imaging volumes may support operational resilience in the Medicaid market.

For payers and contracting teams, the concentration of Medicaid revenue in echocardiography (67.5% across the top three codes) and the provider's high in‑state ranks suggest opportunities to focus on imaging utilization management, quality monitoring, and network design. The lack of Medicare billing reduces cross-payer leverage but also simplifies any Medicaid-focused interventions or partnerships given the practice's near-exclusive Medicaid exposure.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	23,250	$160	$3.6M
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	23,850	$80	$1.8M
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	23,380	$60	$1.5M
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…	6,560	$120	$813.3K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	4,360	$170	$741K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	23,120	$20	$531.7K
99203	The provider sees a new 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 provider…	2,680	$100	$270.2K
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…	2,690	$100	$268.5K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	1,970	$130	$259.6K
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…	3,250	$70	$220.9K

Showing 1–10 of 15

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

Savannah Children's Heart Center, PC — 3 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	2	10	250	$130	$636K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	2	20	890	$60	$498.3K
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…	218	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…	186	820	390	$70	$245K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	2	10	520	$50	$240.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	3	30	90	$160	$236.3K
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,…	316	360	370	$50	$153.6K
99203	The provider sees a new 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 provider…	25	310	90	$90	$136.3K
99204	The provider sees a new 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 provider…	31	230	100	$110	$97.1K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	12	30	160	$110	$77.4K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgia Emergency Physician Specialists	GA	Emergency Medicine Physician	$0	$12.7M
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

Savannah Children's Heart Center, PC — Billing Profile & Reimbursement Data

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Savannah Children's Heart Center, PC — 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

Nearby Providers

Frequently Asked Questions

References