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.

Cheryl Gardner (NPI 1356602734)

Field	Value
Entity Type	Individual
Organization	Cheryl Gardner
Address	445 Winn Way
City	Decatur
State	GA
ZIP	30030
Taxonomy	Professional Counselor
NPI Enumerated	June 1, 2012

Payer Source	Total Paid
Medicaid	$639.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,520	$100	$460.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	880	$140	$121K
H0004	Behavioral health counseling and therapy, per 15 minutes	270	$140	$36.4K
H0031	Mental health assessment, by non-physician	50	$190	$8.6K
H0032	Mental health service plan development by non-physician	50	$130	$5.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$120	$3.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	40	$90	$3.3K

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

Cheryl Gardner — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0031	Mental health assessment, by non-physician	43	80	80	$110	$233.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	12	20	270	$60	$173.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	69	880	410	$90	$148.7K
H0032	Mental health service plan development by non-physician	41	70	70	$90	$96.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	236	290	240	$70	$69.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	32	140	210	$80	$54.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	151	240	50	$80	$20.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cheryl Gardner, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of America	CA	Federally Qualified Health Center (FQHC)	$0	$32.6M
Clinica De Salud Del Valle De Salinas	CA	Federally Qualified Health Center (FQHC)	$0	$29.4M
Aneta Hopkins	SC	Professional Counselor	$0	$2.3M
Ridgewood Clinics PA	MS	Mental Health Counselor	$0	$1.7M
Oscar Castillo	CA	Psychiatric/Mental Health Nurse Practitioner	$798.5K	$0
Denise Lyn-bradley	GA	Professional Counselor	$0	$713.8K
Jacqueline Bilodeau	VT	Clinical Social Worker	$0	$703.6K
Charlinda Cannady	GA	Professional Counselor	$0	$494.3K
Deborah Koricke	OH	Clinical Psychologist	$66.1K	$387.3K
Kristen Mowrey	HI	Mental Health Counselor	$0	$391.8K

Nearby Providers

Other providers in the same ZIP code as Cheryl Gardner, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dekalb Community Service Board	GA	Community/Behavioral Health Agency	$0	$38.8M
Gillian Jones	GA	Oral and Maxillofacial Surgery (Dentist)	$0	$8M
Dekalb Women's Specialists	GA	Obstetrics & Gynecology Physician	$0	$2.4M
John Thomas	GA	Ophthalmology Physician	$1.3M	$0
Reunited Counseling & Training LLC	GA	Preferred Provider Organization	$0	$1.1M
American Access Care Of Atlanta Asc LLC	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Dekalb County Board Of Health	GA	Public Health or Welfare Agency	$0	$1M
Alliance Recovery Center, Inc.	GA	Methadone Clinic	$325.9K	$276.5K
Eps Surgical Center, LLC	GA	Ambulatory Surgical Clinic/Center	$414.4K	$0
Shalin Shah	GA	Ophthalmology Physician	$326.7K	$0

Cheryl Gardner — Billing Profile & Reimbursement Data

Sign up for Cheryl Gardner — Billing Profile & Reimbursement Data policy alerts

Cheryl Gardner — Billing Profile & Reimbursement Data

Sign up for Cheryl Gardner — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References