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.

Medlink Georgia Inc (NPI 1396794541)

Key Findings

Field	Value
Entity Type	Organization
Organization	Medlink Georgia Inc
Address	11 Charlie Morris Rd
City	Colbert
State	GA
ZIP	30628
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

MEDLINK GEORGIA INC is effectively a single-payer provider: Medicare revenue on file is none while total Medicaid revenue is $19.9M, so all reported fee-for-service activity in the dataset is driven by Medicaid. This makes the provider’s financial footprint entirely Medicaid-centric in the available claims data.

Revenue is highly concentrated in a small set of outpatient evaluation-and-management codes: the precomputed top three Medicaid codes account for 82.3% of this provider’s total Medicaid revenue. Those three are 99213 ($11.9M, 60.0% of Medicaid revenue), 99214 ($3.6M, 18.0%), and 99212 ($854.8K, 4.3%), indicating the bulk of dollars come from routine established-patient office visits.

The code mix and volumes point to an FQHC operating primarily as a high-volume primary care and pediatric clinic: dominant E/M codes (99213/99214/99212) plus notable preventive medicine codes such as 99392 ($723.9K, 3.6%), 99393 ($568.2K, 2.9%), and 99391 ($566.4K, 2.8%) indicate ongoing longitudinal primary care and well-child services. High counts of vaccine administration (90471, 90472, 90686) and screening/testing codes (87428, 87426) further support a strong role in immunizations and point-of-care respiratory testing.

For core primary care E/M services the provider is a statewide leader: 99213 ranks #4 of 917 providers in-state (100th percentile; extreme outlier) and 99214 ranks #11 of 824 (99th percentile; extreme outlier). These rank and percentile positions indicate MEDLINK GEORGIA is operating at volumes far above typical state peers for those established-patient visit codes.

MEDLINK GEORGIA is also a dominant outlier for immunization and testing throughput in the state: 90471 ranks #1 of 146 providers in-state (100th percentile; extreme outlier), 90686 ranks #1 of 247 providers (100th percentile; extreme outlier), 90472 ranks #2 of 72 providers (99th percentile; extreme outlier), and 87428 ranks #2 of 60 providers (98th percentile). This pattern shows the clinic is a major delivery site for vaccines and respiratory testing relative to in-state peers.

Several screening and support services appear in the top code list at elevated state ranks — for example, 99173 (vision screening) is 14.2K claims and ranks #4 of 143 providers (98th percentile; extreme outlier) and 92551 (hearing test) has 8.9K claims and ranks #4 of 105 providers (97th percentile; notably above typical state volume). These signals indicate a broad preventive and school-age screening footprint beyond typical office visits.

The extreme concentration of revenue in a narrow set of E/M codes (82.3% from the top three) creates both operational risk and partnership opportunities: the provider’s Medicaid revenue would be sensitive to changes in E/M reimbursement policy or patient visit volumes, and payers might prioritize care-management or value-based models that engage this high-volume primary care partner. Targeted interventions around visit intensity, preventive care, and vaccine delivery are logical levers given the observed code mix.

The provider has long tenure in the NPI file (enumerated 2006-05-08, ~20 years ago) and is classified as a Federally Qualified Health Center (FQHC). Combined with the Medicaid concentration and the high-volume primary care and immunization activity, the profile is consistent with a stable community-oriented primary care organization that serves a large Medicaid population in Colbert, GA.

Medicaid: Complete Services Breakdown

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

109 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…	131,150	$90	$11.9M
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…	56,710	$60	$3.6M
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,…	9,610	$90	$854.8K
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…	6,410	$110	$723.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,120	$110	$568.2K
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…	5,200	$110	$566.4K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	10,000	$40	$419.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,220	$110	$367.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	29,160	$10	$262.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	12,680	$20	$228.2K

Showing 1–10 of 109

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

Medlink Georgia Inc — 8 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

109 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	217	240	170	$120	$779.3K
D0999	N/A	8	10	2,280	$80	$470.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	54	80	1,770	$60	$366K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	29	60	730	$60	$362.1K
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…	4	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…	11	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…	21	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…	29	180	720	$90	$204.2K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	10	20	150	$100	$194.7K
0241U	N/A	18	20	140	$80	$176.7K

Showing 1–10 of 109

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donald Nichols	GA	Podiatrist	$81.3K	$0
Anthony Gordon	GA	Foot Surgery Podiatrist	$67.7K	$0

Medlink Georgia Inc — Billing Profile & Reimbursement Data

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Medlink Georgia Inc — 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

Frequently Asked Questions

References