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.

Clinic For Education, Treatment And Prevention Of Addiction, Inc. (NPI 1396885059)

Field	Value
Entity Type	Organization
Organization	Clinic For Education, Treatment And Prevention Of Addiction, Inc.
Address	6020 Dawson Blvd
City	Norcross
State	GA
ZIP	30093
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 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…	9,500	$90	$826.5K
H0031	Mental health assessment, by non-physician	1,460	$120	$181.5K
H0032	Mental health service plan development by non-physician	1,160	$70	$85.5K
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…	630	$110	$70.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	560	$100	$54.2K
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…	570	$70	$39.8K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	530	$70	$36.8K
H2015	Comprehensive community support services, per 15 minutes	430	$70	$29.3K
T1001	Nursing assessment / evaluation	510	$50	$27.2K
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…	630	$40	$22.8K

Showing 1–10 of 18

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

Clinic For Education, Treatment And Prevention Of Addiction, Inc. — 1 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	31	40	2,260	$70	$518.1K
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…	398	920	370	$60	$360.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	27	50	260	$110	$248.9K
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…	724	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	15	80	80	$110	$233.6K
H2014	Skills training and development, per 15 minutes	19	30	620	$50	$166.3K
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…	17	60	180	$110	$155.6K
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,…	124	360	370	$50	$153.6K
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…	27	880	410	$90	$148.7K
H2011	Crisis intervention service, per 15 minutes	11	10	580	$120	$123.7K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Clinic For Education, Treatment And Prevention Of Addiction, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Community Service, Inc.	GA	Community/Behavioral Health Agency	$0	$13.5M
Ebenezer Healthcare Services, Inc.	GA	In Home Supportive Care Agency	$0	$11.2M
Norcross Pediatric Clinic Inc	GA	Pediatrics Physician	$0	$5.8M
Shah Inayat	GA	Internal Medicine Physician	$11K	$875.3K
Georgia Laboratory Management LLC	GA	Clinical Medical Laboratory	$397.2K	$0
Metro Treatment Of Georgia, LP	GA	Methadone Clinic	$0	$248.1K
William Miller	GA	Professional Counselor	$0	$241K
Sherian Sharomi	GA	Clinical Social Worker	$99.8K	$0
Pruitthealth Diagnostic Services, Inc.	GA	Clinical Medical Laboratory	$82.1K	$9.6K
Marianne Altares	GA	Speech-Language Pathologist	$68K	$0

Clinic For Education, Treatment And Prevention Of Addiction, Inc. — Billing Profile & Reimbursement Data

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Clinic For Education, Treatment And Prevention Of Addiction, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References