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.

Au Medical Center, Inc (NPI 1437135902)

Key Findings

Field	Value
Entity Type	Organization
Organization	Au Medical Center, Inc
Address	1120 15th St
City	Augusta
State	GA
ZIP	30912
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 16, 2005

Payer Source	Total Paid
Medicaid	$26.6M
Medicare	$0

AU MEDICAL CENTER, INC reports no Medicare billing on file and $26.6M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider in this dataset. The absence of Medicare activity means payer exposure and growth opportunities will be driven almost entirely by Medicaid trends and managed-Medicaid arrangements rather than Medicare payment dynamics.

Revenue is highly concentrated in a small set of outpatient evaluation-and-management and injection codes: the top three Medicaid codes (99212, 99213, 96372) account for 39.7% of total Medicaid revenue. Specifically, 99212 generated $3.2M (17.8%), 99213 generated $2.7M (15.1%), and 96372 generated $1.2M (6.8%), indicating a reliance on frequent ambulatory visits and injectable therapeutics for Medicaid reimbursement.

The code mix and volumes indicate a high-throughput ambulatory/outpatient footprint: 99212 and 99213 together account for massive claim counts (42.3K and 42.5K claims respectively) and 21K claims are reported for G0463 (hospital outpatient clinic visit) with a low average paid rate of $13. This pattern is consistent with a general acute care hospital operating a sizable outpatient clinic network where revenue is driven by volume of low- to mid-acuity visits rather than high-ticket procedures.

Emergency department services appear to be an important service line across acuity levels: 99283 (15.7K claims, $1.1M, 5.8%), 99284 (10.9K claims, $423.9K, 2.4%), and 99282 (5.3K claims, $802.6K, 4.5%) are all present among top codes. These ED E/M codes show the hospital provides broad emergency care capacity and that ED visits contribute materially to Medicaid revenue alongside outpatient clinic work.

Lab and imaging services are a meaningful secondary revenue stream: 80053 (CMP) produced $1.1M (6.3%) and ranks in the 92nd percentile in-state, while A1C 83036 ($583.3K, 3.2%) and MRIs 70553 ($300.8K) and 70551 ($257.5K) are also in the top 25. The presence of high-volume clinical lab testing and moderate-volume advanced imaging indicates on-site diagnostic capacity that supports both ambulatory and ED throughput.

On competitive standing, AU MEDICAL CENTER shows outsized market positions for several codes within Georgia: 99212 ranks #3 of 356 providers in-state (99th percentile; extreme outlier) and 99213 ranks #26 of 917 (97th percentile; notably above typical). The provider also ranks #1 of 8 for 87015 (100th percentile), signaling dominance in that specific lab procedure while many other high-volume codes are in the upper state percentiles, reflecting a major regional role for Medicaid services.

The payment mix is skewed toward high-volume, low-unit-payment items which suggests revenue is driven by throughput: G0463 averages $13 paid/claim despite 21K claims, and many lab panels and low-acuity E/M codes dominate revenue share. That said, the hospital also bills higher-unit items (e.g., Q9967 at $297 avg paid/claim and MRI 70553 at $955 avg paid/claim), indicating capacity to capture both routine clinic revenue and episodic higher-reimbursement imaging/contrast services.

AU MEDICAL CENTER’s NPI was enumerated on 2005-12-16 (~21 years ago), indicating a long-tenured presence in the market. Combined with sustained high claim volumes and $26.6M in Medicaid revenue, this tenure supports the conclusion that the provider is an established Medicaid-facing acute-care institution in its region.

Medicaid: Complete Services Breakdown

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

328 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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,…	42,270	$80	$3.2M
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…	42,520	$60	$2.7M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	6,080	$200	$1.2M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	30,870	$40	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15,700	$70	$1.1M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,810	$300	$835.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5,320	$150	$802.6K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	8,620	$90	$767.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10,520	$60	$599.5K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	6,780	$90	$583.3K

Showing 1–10 of 328

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

Au Medical Center, Inc — 3 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

328 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20	140	200	$280	$1.9M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	7	10	360	$1,510	$1.6M
G0378	Hospital observation service, per hour	7	20	2,070	$160	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	27	40	850	$70	$983K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	25	230	120	$170	$937.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	11	20	310	$900	$893.2K
92611	The provider conducts a study on the inside of the mouth, the voice box, and the food pipe using cine or video recording. He checks whether the patient can swallow properly.	5	10	920	$410	$848.9K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	14	30	550	$540	$834.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	9	20	190	$1,120	$833.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	25	240	170	$120	$779.3K

Showing 1–10 of 328

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgia Radiology Services, LLC	GA	Diagnostic Radiology Physician	$0	$307.3K
Dara Lifschutz	MN	Diagnostic Radiology Physician	$174.8K	$0
Forrest Walker	GA	Diagnostic Radiology Physician	$115.4K	$0
Benjamin Barnes	GA	Neuromusculoskeletal Medicine & OMM Physician	$31.2K	$0
Thomas Lovas	GA	Ophthalmology Physician	$3.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Au Medical Associates Emergency Medicine Billing Services, LLC	GA	Emergency Medicine Physician	$0	$8.9M
Au Medical Associates Inc	GA	Multi-Specialty Clinic/Center	$0	$1.2M
Shah Numani	GA	Nuclear Medicine Physician	$1.1M	$0
June Murakaru	GA	Pediatric Dentistry	$0	$1.1M
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Jennifer Stevens	GA	Dentist	$0	$755.8K
Jean-paul Wuilleumier	GA	General Practice Physician	$725.8K	$0
Jed Howington	GA	Radiation Oncology Physician	$565.7K	$0
Davis Mellick	GA	Medical Physician Assistant	$0	$539.3K
Daniel Sheehan	GA	Dermatology Physician	$401.8K	$7.9K

Au Medical Center, 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