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.

Guatemala Kimble (NPI 1427593326)

Field	Value
Entity Type	Individual
Organization	Guatemala Kimble
Address	3240 S Cobb Dr Se
City	Smyrna
State	GA
ZIP	30080
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 31, 2016

Payer Source	Total Paid
Medicare	$26.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 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…	230	$50	$12.2K
99203	The provider sees a new 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 provider…	200	$60	$11.9K
91065	A hydrogen or methane breath test is a diagnostic procedure to find problems related to gastric functionality such as lactose deficiency, fructose intolerance, bacterial overgrowth, and oro–cecal…	30	$50	$1.3K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	$40	$1000

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Guatemala Kimble — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	2,774	13,360	80	$60	$9.2K
99203	86	5,350	30	$70	$3.3K
99202	193	570	20	$40	$1.3K
91065	4	10	50	$20	$760

Related Providers

Other providers that share a Tax Identification Number (TIN) with Guatemala Kimble, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Smith	GA	Anatomic Pathology Physician	$0	$297.1K
Larissa Allen	AZ	Gastroenterology Physician	$126.5K	$0
Bryan Contreras	AZ	Gastroenterology Physician	$104.2K	$0
Leon Tsai	AZ	Gastroenterology Physician	$101.2K	$0
Frederick Klein	AZ	Gastroenterology Physician	$81.1K	$0
Scott Blinkoff	AZ	Gastroenterology Physician	$80.9K	$0
Gary Monash	AZ	Gastroenterology Physician	$77.1K	$0
Gebran Abboud	PA	Gastroenterology Physician	$75.7K	$0
Kavitha Tipirneni	FL	Gastroenterology Physician	$71.4K	$0
Lisa Medeiros	MD	Family Nurse Practitioner	$36.4K	$0

Nearby Providers

Other providers in the same ZIP code as Guatemala Kimble, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rv Behavioral, LLC	GA	Psychiatric Hospital	$0	$3.1M
Dipti Anand	GA	Dermatopathology (Pathology) Physician	$2M	$0
Georgia Urology, PA	GA	Ambulatory Surgical Clinic/Center	$918.7K	$0
Charay Jennings-dover	GA	Dermatopathology (Pathology) Physician	$829.6K	$0
Wael Milyani	GA	Anatomic Pathology & Clinical Pathology Physician	$769.7K	$12.2K
Chestatee Pathology Associates, PC	GA	Anatomic Pathology & Clinical Pathology Physician	$0	$491.1K
David Guillen	GA	Dermatopathology (Pathology) Physician	$474.4K	$0
Abha Soni	GA	Dermatopathology Physician	$355K	$0
Georgia Imaging Associates PC	GA	Diagnostic Radiology Physician	$0	$318.6K
Kaushang Gandhi	GA	Cardiovascular Disease Physician	$116.2K	$0

Guatemala Kimble — Billing Profile & Reimbursement Data

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Guatemala Kimble — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References