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.

Janet Davis (NPI 1417949066)

Janet Davis is a maternal & fetal medicine physician provider located in Augusta, Georgia. This profile covers 0 Medicare and 12 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	Individual
Organization	Janet Davis
Address	1348 Walton Way
City	Augusta
State	GA
ZIP	30901
Taxonomy	Maternal & Fetal Medicine Physician
NPI Enumerated	August 19, 2005

Payer Source	Total Paid
Medicaid	$611.4K
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	2,530	$110	$273.6K
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…	1,550	$80	$126.8K
76821	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the middle cerebral artery. This test determines the timing of labor induction and…	1,730	$60	$105.7K
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	1,780	$30	$60.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	190	$70	$13.7K
76828	The provider performs a repeat or follow–up fetal Doppler echocardiography by pulsed or continuous sound waves with spectral display to assess blood flow in the fetus.	390	$30	$13K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	2,540	$1	$7.6K
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…	100	$50	$5.5K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	40	$70	$2.8K
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.	30	$70	$1.7K

Showing 1–10 of 12

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

Janet Davis — 2 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76821	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the middle cerebral artery. This test determines the timing of labor induction and…	3	10	1,730	$80	$375.3K
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…	615	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.	35	40	220	$70	$299.7K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	14	20	420	$80	$255K
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…	243	820	390	$70	$245K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	34	60	550	$50	$193.7K
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	8	20	570	$70	$155.8K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	1	10	80	$100	$39.4K
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	14	20	360	$1	$16.3K
76828	The provider performs a repeat or follow–up fetal Doppler echocardiography by pulsed or continuous sound waves with spectral display to assess blood flow in the fetus.	1	10	240	$40	$8.6K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatrix Medical Group Of Georgia, P.C.	FL	Maternal & Fetal Medicine Physician	$0	$50.6M
Ira Schachar	CA	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.1M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Health Services,inc	GA	General Acute Care Hospital	$0	$2.3M
Stephen W. Brown And Radiology Associates Of Augusta LLP	GA	Diagnostic Radiology Physician	$0	$1.6M
Alice David	GA	Hematology & Oncology Physician	$1.4M	$0
Brent Limbaugh	GA	Hematology & Oncology Physician	$1.1M	$0
Felisha Lee	GA	Mental Health Counselor	$0	$978.1K
Nephrology Associates, PC	GA	Nephrology Physician	$0	$626.7K
William Tannehill	GA	Vascular & Interventional Radiology Physician	$609.6K	$0
Orthopaedic Associates Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$609.6K	$0
Augusta Developmental Specialists, LLC	GA	Developmental - Behavioral Pediatrics Physician	$0	$573.1K
Kids Prompt Care, LLC	GA	Urgent Care Clinic/Center	$0	$548.4K

Janet Davis — Billing Profile & Reimbursement Data

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Janet Davis — 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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