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.

Rutledge Medical Associates LLC (NPI 1407260557)

Rutledge Medical Associates LLC is a primary care clinic/center provider located in East Point, Georgia. This profile covers 0 Medicare and 23 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	Rutledge Medical Associates LLC
Address	2788 Bayard St
City	East Point
State	GA
ZIP	30344
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	June 17, 2014

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27603	The provider incises and drains an abscess or hematoma in ankle or leg. He performs the procedure to treat an infection and relieve pain.	1,550	$670	$1M
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…	7,960	$90	$747.9K
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…	6,950	$60	$382K
11772	The provider excises a pilonidal cyst or sinus requiring extensive dissection and without complication.	820	$390	$316.5K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	870	$210	$180K
95924	In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic…	700	$110	$77.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	380	$110	$42.8K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	470	$60	$25.6K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	190	$80	$15.6K
99204	The provider sees a new 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 provider…	110	$100	$10.8K

Showing 1–10 of 23

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

Rutledge Medical Associates LLC — 3 of 19 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27603	The provider incises and drains an abscess or hematoma in ankle or leg. He performs the procedure to treat an infection and relieve pain.	1	10	1,550	$670	$1M
H2015	Comprehensive community support services, per 15 minutes	38	40	2,260	$70	$518.1K
11772	The provider excises a pilonidal cyst or sinus requiring extensive dissection and without complication.	1	10	820	$390	$316.5K
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…	94	820	390	$70	$245K
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…	32	880	410	$90	$148.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	26	40	750	$50	$148.5K
99204	The provider sees a new 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 provider…	113	230	100	$110	$97.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	14	20	360	$20	$69.8K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	51	60	240	$20	$60.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	2	20	40	$140	$50.8K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Parents Keeper Inc	GA	In Home Supportive Care Agency	$0	$3.9M
Cassaundra Gray	GA	Professional Counselor	$0	$444.7K
Precious L. Braswell, Md, Ob/gyn, LLC	GA	Obstetrics & Gynecology Physician	$0	$262.3K
Charles Okolo	GA	Gastroenterology Physician	$165.6K	$0
Ga Doctors Of Optometry LLC	GA	Eyewear Supplier	$0	$138.9K
Bob Agbogu	GA	Nephrology Physician	$136.7K	$0
William Wright	GA	Diagnostic Radiology Physician	$105.4K	$0
Tony Gayle	GA	Podiatrist	$97.7K	$0
Narrene Taffe	GA	Certified Registered Nurse Anesthetist	$12.9K	$0
Irwin Best	GA	Surgery Physician	$1.3K	$0

Rutledge Medical Associates LLC — Billing Profile & Reimbursement Data

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Rutledge Medical 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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References