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.

Peachtree Immediate Care Fp, LLC (NPI 1437194156)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peachtree Immediate Care Fp, LLC
Address	3827 Jimmy Lee Smith Pkwy
City	Hiram
State	GA
ZIP	30141
Taxonomy	Family Medicine Physician
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$24.9M
Medicare	$0

This provider is effectively single-payer in the available data: there is no Medicare billing on file while Total Medicaid revenue: $24.9M is reported, indicating the organization’s operations and revenue are concentrated in the Medicaid market rather than a mixed Medicare/Medicaid footprint. Analysts should treat Medicaid as the primary payer when modeling this entity’s financials or network impact.

Revenue concentration is high: the precomputed top-three Medicaid codes account for 66.8% of the provider’s Medicaid revenue, driven by T1015 ($9.3M, 37.2%), 99214 ($4M, 15.9%), and 99213 ($3.4M, 13.6%). This level of concentration suggests financial sensitivity to changes in reimbursement or utilization for a very small set of encounter/E&M codes.

The code mix points to a high-volume outpatient/clinic operation: T1015 (Clinic visit/encounter, all-inclusive) is the largest single code by revenue and, together with large volumes of E/M codes 99214 and 99213, indicates the practice functions primarily as a walk-in/clinic or family-medicine outpatient setting handling many routine and moderate-complexity visits. High reported activity on new-patient E/M codes 99203 ($3M) and 99204 ($3M) further suggests substantial new-patient intake rather than exclusively established-patient chronic care.

Competitive standing in-state is strong for clinic encounters: T1015 ranks #1 of 49 providers in-state (100th percentile; extreme outlier), making this provider the dominant biller of the all-inclusive clinic visit code locally. For E/M codes, 99214 ranks #18 of 824 providers (98th percentile; notably above typical state volume) and 99213 ranks #36 of 917 providers (96th percentile; typical), signaling major market presence for mid-level outpatient E/M services.

Testing and point-of-care services are a meaningful secondary revenue stream: 87426 shows 39.3K claims and $1.2M revenue (4.9% of Medicaid revenue) and ranks #3 of 159 in-state (99th percentile; extreme outlier), while 87428 contributes $370.5K (1.5%) and ranks #3 of 60 (97th percentile). These high volumes of SARS-CoV-2 and respiratory-panel antigen testing indicate significant on-site diagnostic throughput that supplements visit-based revenue.

Case-mix skews toward low-to-moderate complexity visits rather than high-complexity management: high counts for 99213 and 99214 contrast with only 162 claims for 99215 ($16.4K), implying most outpatient encounters are handled at straightforward to moderate levels of medical decision-making. This pattern is consistent with urgent care or high-throughput primary care operations focused on episodic care rather than intensive longitudinal management.

The provider has a long-tenured NPI (enumerated 2006-06-17, ~20 years ago), which supports an interpretation of established local operations and referral patterns; combined with the strong Medicaid revenue base and concentrated code mix, tenure suggests an entrenched Medicaid-focused clinic model rather than a recent or transient entrant to the market.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	85,770	$110	$9.3M
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…	36,370	$110	$4M
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…	31,600	$110	$3.4M
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…	26,870	$110	$3M
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…	26,780	$110	$3M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	39,260	$30	$1.2M
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…	8,050	$50	$370.5K
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…	2,140	$120	$252.9K
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,…	1,800	$110	$203.1K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	5,180	$30	$134.7K

Showing 1–10 of 33

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

Peachtree Immediate Care Fp, LLC — 7 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

33 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…	36	920	370	$60	$360.6K
T1015	Clinic visit/encounter, all-inclusive	1	50	100	$100	$293.2K
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…	18	820	390	$70	$245K
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,…	88	360	370	$50	$153.6K
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…	4	310	90	$90	$136.3K
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…	2	230	100	$110	$97.1K
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	60	180	$50	$76.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	86	160	180	$80	$68K
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…	57	130	480	$20	$59.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	3	160	260	$30	$54.2K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Yost	GA	Family Medicine Physician	$97K	$1.6M
Inoka Devapriya	GA	General Practice Physician	$183K	$0
Kevin Pharris	GA	Family Medicine Physician	$54.6K	$5.3K
Farhad Yazdi	GA	Family Medicine Physician	$45.3K	$0
Harold Jackson	FL	Family Nurse Practitioner	$32.1K	$0
Melissa Bailey	AL	Nurse Practitioner	$31.1K	$0
Jackline Gates	GA	Family Nurse Practitioner	$25.5K	$0
Stephanie Merritt	GA	Family Nurse Practitioner	$20.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jessica Koalenz	GA	Mental Health Counselor	$0	$372.2K
Adam Ferro	GA	Radiation Oncology Physician	$137.7K	$0
Jill Twyman	GA	Specialist	$129.6K	$0
Deborah Karp	GA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$112.7K	$0
David Gose	GA	Internal Medicine Physician	$106.6K	$0
Anuj Patel	GA	Orthopaedic Surgery of the Spine Physician	$98.6K	$0
Marcus Polk	GA	Anesthesiology Physician	$61.7K	$0
Timothy Brock	GA	Surgery Physician	$36.8K	$0
Rebecca Faugno	GA	Occupational Therapist	$33.5K	$0
Vanchad Memark	GA	Surgery Physician	$31.3K	$0

Peachtree Immediate Care Fp, LLC — Billing Profile & Reimbursement Data

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Peachtree Immediate Care Fp, LLC — 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