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.

Tanner Medical Group Inc (NPI 1396979787)

Key Findings

Field	Value
Entity Type	Organization
Organization	Tanner Medical Group Inc
Address	100 Greenway Blvd Fl 2
City	Carrollton
State	GA
ZIP	30117
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 13, 2009

Payer Source	Total Paid
Medicaid	$17.9M
Medicare	$0

This provider is effectively single‑payer in the Medicare/Medicaid mix: there is no Medicare billing on file while total Medicaid revenue is $17.9M, so all near-term revenue risk and utilization patterns for this NPI are driven by Medicaid activity rather than Medicare. Analysts should therefore treat this profile as Medicaid‑centric rather than balanced across payers.

Revenue is highly concentrated in a few outpatient evaluation‑and‑management and preventive codes: the top three Medicaid codes (99213, 99214, 99391) account for 68.6% of this provider's total Medicaid revenue, with 99213 contributing $5.7M (32.5%), 99214 $4.3M (24.3%), and 99391 $2.1M (11.9%). This level of concentration implies that changes in utilization, coding, or reimbursement for those specific services would materially affect overall revenue.

The code mix indicates the operation functions largely as a high‑volume outpatient primary/preventive clinic despite the listed taxonomy of Cardiovascular Disease Physician: heavy volumes of established‑patient visits (99213, 99214), preventive medicine (99391, 99392 at $1.8M and 10.3%), and immunization administration (90460, 90471, 90472 with revenues of $629.1K, $568.1K, and $417.2K respectively) point to routine ambulatory care, pediatric/adolescent well visits, and vaccine delivery as primary service lines. Developmental screening (96110, $117.1K) and well‑child codes (99393, 99394) further reinforce a preventive/population‑health emphasis.

Competitive standing in the state is dominant for several high‑volume Medicaid codes: 99213 and 99214 both rank #8 in‑state (99th percentile; labeled an "extreme outlier, far above typical state volume for this code"), 99391 and 99392 rank #2 (99th percentile; extreme outlier), and 90472 ranks #1 (100th percentile; extreme outlier). These rank/percentile positions indicate the provider is a major statewide participant for established E/M and preventive visit types and a market leader in certain vaccine administration codes.

Cardiology‑specific procedures are present but represent a small share of Medicaid revenue: 93306 (echocardiography) accounts for $89K (0.5% of Medicaid revenue) and 93000 (ECG) for $37K (0.2% of Medicaid revenue). Those figures suggest that, within Medicaid, traditional cardiovascular diagnostic services are a minor revenue stream compared with ambulatory E/M and preventive services.

Utilization patterns show extremely high claim volumes for core outpatient codes—99213 has 93.4K claims and 99214 has 59.9K claims, while 99391 has 22.7K claims—consistent with either multi‑provider/multi‑site operations or very high per‑provider throughput. Combined with the provider's tenure (NPI enumerated 2009-05-13, ~17 years ago), this points to an established, high‑capacity ambulatory operation that has scaled preventive and vaccine services over time.

Multiple individual codes are flagged as statistical outliers in the in‑state comparison (several labeled "extreme outlier, far above typical state volume for this code" and other high percentiles), concentrating both financial exposure and utilization outlier risk in a narrow set of services. For payers, these patterns warrant focused monitoring of utilization trends, reimbursement alignment for the top E/M and preventive codes, and quality measures tied to high‑volume services rather than broad inpatient or specialty cardiology utilization.

From a network and contracting perspective, the provider's Medicaid concentration and extreme in‑state rankings for core outpatient and preventive codes mean changes to reimbursement policy or beneficiary assignment could materially affect access and cost patterns in the region. Analysts should prioritize review of prior authorization, capitation, and quality metrics for high‑volume codes (99213, 99214, 99391 and major vaccine administration codes) when assessing this entity's financial and operational impact on Medicaid panels.

Medicaid: Complete Services Breakdown

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

147 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…	93,440	$60	$5.7M
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…	59,920	$70	$4.3M
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…	22,660	$90	$2.1M
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…	18,200	$100	$1.8M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	14,300	$40	$629.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	25,820	$20	$568.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	26,080	$20	$417.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,160	$100	$408K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	16,910	$20	$253.7K
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…	3,170	$70	$222K

Showing 1–10 of 147

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

Tanner Medical Group 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

147 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	8	920	370	$60	$360.6K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	19	40	220	$70	$299.7K
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…	8	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…	2	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…	2	180	720	$90	$204.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	14	60	670	$80	$194.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	19	60	550	$50	$193.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	19	250	660	$40	$172.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	29	170	500	$100	$170.6K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	18	20	250	$180	$154.6K

Showing 1–10 of 147

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oghenerukevwe Odiete	GA	Interventional Cardiology Physician	$1.2M	$0
Angampally Rajeev	GA	Interventional Cardiology Physician	$1M	$0
Mohammad Kamran	AL	Cardiovascular Disease Physician	$364.3K	$0
Leslie Cottrell	GA	Family Medicine Physician	$85.2K	$154K
Shazib Khawaja	GA	Interventional Cardiology Physician	$236.8K	$0
Paul Okhumale	IA	Clinical Cardiac Electrophysiology Physician	$205.8K	$0
Christopher Arant	GA	Interventional Cardiology Physician	$195.5K	$0
Anil Dhople	GA	Radiation Oncology Physician	$135.3K	$0
Jason Sanders	GA	Radiation Oncology Physician	$129.7K	$0
Kevin Mclaughlin	GA	Urology Physician	$118.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carrollton Emergency Physicians, PC	GA	Emergency Medicine Physician	$0	$11M
Carrollton Ear, Nose And Throat, P.C.	GA	Otolaryngology Physician	$0	$2M
Apogee Medical Group Georgia	GA	Internal Medicine Physician	$0	$1.2M
West Georgia Ambulance Inc	GA	Ambulance	$1.1M	$0
Georgia Cataract And Eye Specialty Center LLC	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Air Evac Ems, Inc.	GA	Air Ambulance	$511.6K	$0
John Arnold	GA	Nuclear Radiology Physician	$464.8K	$0
Charlie Rouse	GA	Cardiovascular Disease Physician	$412.2K	$0
Garland Berry	GA	Ophthalmology Physician	$336.5K	$0
Ho Lin	GA	Diagnostic Radiology Physician	$307.3K	$0

Tanner Medical Group 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

Nearby Providers

Frequently Asked Questions

References