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.

Piedmont Pediatric Physicians LLC (NPI 1447315742)

Piedmont Pediatric Physicians LLC is a pediatrics physician provider located in Newnan, Georgia. This profile covers 0 Medicare and 56 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	Piedmont Pediatric Physicians LLC
Address	189 Jefferson Pkwy
City	Newnan
State	GA
ZIP	30263
Taxonomy	Pediatrics Physician
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

56 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…	38,180	$60	$2.1M
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…	8,270	$90	$711.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,790	$80	$468.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	5,910	$50	$266.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,830	$90	$262.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	2,600	$50	$130.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,010	$90	$89.6K
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,…	2,340	$40	$86.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	5,080	$20	$76.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	4,360	$10	$61K

Showing 1–10 of 56

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

Piedmont Pediatric Physicians LLC — 1 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

56 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…	30	920	370	$60	$360.6K
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…	82	820	390	$70	$245K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	50	180	680	$90	$226.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	22	180	720	$90	$204.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	53	250	660	$40	$172.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	58	170	500	$100	$170.6K
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,…	70	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…	177	310	90	$90	$136.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	70	160	190	$110	$129.7K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	31	50	50	$80	$56.7K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Hospitalist Physicians LLC	GA	Family Medicine Physician	$0	$3.6M
The Medical Center Inc	GA	General Acute Care Hospital	$0	$1.2M
Clifford Tillman	LA	Gastroenterology Physician	$439.4K	$268.7K
Amy Kingman	GA	Cardiovascular Disease Physician	$641.2K	$0
Josue Medina	TX	Phlebology Physician	$624.5K	$0
Brion Lock	GA	Pulmonary Disease Physician	$552.6K	$0
Piedmont Hospital, Inc	GA	General Acute Care Hospital	$0	$542.7K
Faizan Shaikh	GA	Internal Medicine Physician	$431K	$0
Mobin Shah	GA	Hospitalist Physician	$380.8K	$0
Srilakshmi Rebala	GA	Nephrology Physician	$377.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Victory Health System, Inc.	GA	In Home Supportive Care Agency	$0	$5.1M
Delta Homecare	GA	Home Health Agency	$0	$4.4M
Coweta County Commissioners	GA	Ambulance	$998K	$0
Falcons Emergency Medical Services LLC	GA	Land Ambulance	$599.9K	$0
Steven Marcet	GA	MOHS-Micrographic Surgery Physician	$576.4K	$0
Cecil Bennett	GA	Family Medicine Physician	$310.4K	$0
John Vickery	GA	Allergy & Immunology Physician	$266.6K	$0
Edith Byrd	GA	Professional Counselor	$0	$151.5K
Elizabeth Baker-ahlstrom	GA	Physician Assistant	$55.3K	$0
Tarpley Drug Company	GA	Community/Retail Pharmacy	$43.7K	$0

Piedmont Pediatric Physicians LLC — Billing Profile & Reimbursement Data

Sign up for Piedmont Pediatric Physicians LLC — Billing Profile & Reimbursement Data policy alerts

Piedmont Pediatric Physicians LLC — Billing Profile & Reimbursement Data

Sign up for Piedmont Pediatric Physicians LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References