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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

River Region Psychiatry Associates LLC (NPI 1386891497)

River Region Psychiatry Associates LLC is a psychiatry physician provider located in Montgomery, Alabama. This profile covers 0 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	River Region Psychiatry Associates LLC
Address	233 Winton Blount Loop
City	Montgomery
State	AL
ZIP	36117
Taxonomy	Psychiatry Physician
NPI Enumerated	August 20, 2008

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	90,900	$10	$1.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	43,870	$20	$877.4K
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…	18,670	$40	$784.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	9,010	$60	$576.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	10,730	$20	$257.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10,090	$20	$222K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2,440	$40	$99.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,400	$40	$88.7K
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…	1,180	$80	$88.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,220	$40	$79.7K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

River Region Psychiatry Associates LLC — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	234	240	4,820	$60	$807.6K
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.	170	190	1,480	$100	$730.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	27	180	100	$120	$381.8K
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…	127	380	440	$90	$362K
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…	69	1,990	680	$60	$201.7K
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…	182	330	140	$240	$197.4K
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…	712	1,990	560	$40	$185.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3	250	420	$50	$133K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	4	10	60	$80	$118.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2	400	470	$30	$97.1K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shankar Yalamanchili	AL	Psychiatry Physician	$606.7K	$5.7K
Jayakrishna Madabushi	AL	Psychiatry Physician	$511.2K	$0
Leroy Arenivar	TX	Psychiatry Physician	$81.3K	$0
Clifford Roberson	TN	Psychiatry Physician	$64.9K	$2.8K
Alexandre Koumtchev	TN	Psychiatry Physician	$57.8K	$0
Robert Yates	TN	Psychiatry Physician	$49.1K	$0
Shipra Putatunda	TN	Psychiatry Physician	$45.3K	$0
Ronald Mcgavic	KY	Psychiatry Physician	$35.7K	$0
Dwight King	DC	Psychiatry Physician	$35.3K	$0
Tonya Chambers	AR	Psychiatric/Mental Health Nurse Practitioner	$23.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$12M
Montgomery Pediatric Assoc, P.A.	AL	Pediatric Adolescent Medicine Physician	$0	$8.3M
Tooth Buds At Lagoon Park, LLC	AL	General Practice Dentistry	$0	$7.8M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Internal Medicine Physician	$0	$7.5M
Smiles From Us, PLLC	AL	Pediatric Dentistry	$0	$5.9M
Dentists 4 Children, L.L.C.	AL	Pediatric Dentistry	$0	$5.7M
Pediatric Specialists Of Montgomery, L.L.C.	AL	Pediatric Cardiology Physician	$0	$5.3M
Alexander Pediatrics LLC	AL	Pediatrics Physician	$0	$4.8M
Oral And Maxillofacial Surgery Associates	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$4.4M
East Montgomery Pediatrics LLC	AL	Pediatrics Physician	$0	$3M

River Region Psychiatry Associates LLC — Billing Profile & Reimbursement Data

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River Region Psychiatry Associates LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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