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.

Sgmp Southland LLC (NPI 1447695085)

Sgmp Southland LLC is a psychiatry physician provider located in Valdosta, Georgia. This profile covers 0 Medicare and 10 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	Sgmp Southland LLC
Address	2209 Pineview Dr
City	Valdosta
State	GA
ZIP	31602
Taxonomy	Psychiatry Physician
NPI Enumerated	May 9, 2013

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19,720	$50	$887.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,420	$60	$320K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1,710	$90	$152K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2,050	$60	$131.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,630	$10	$19.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	140	$140	$18.9K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	540	$30	$13.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	270	$40	$11.2K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	930	$1	$2.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$80	$1.1K

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

Sgmp Southland LLC — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	9	60	180	$110	$155.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	160	230	$30	$141.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	8	190	310	$30	$92K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	42	110	80	$70	$81.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	24	70	300	$30	$67.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	27	90	90	$60	$41.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	8	60	130	$40	$37.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	62	70	50	$50	$17.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	5	50	150	$20	$16.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	18	90	210	$1	$2.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelly Carpenter	GA	Psychiatric/Mental Health Nurse Practitioner	$0	$239.1K
John Strunk	AL	Psychiatry Physician	$216.7K	$0
Hannah Moore	GA	Psychiatric/Mental Health Nurse Practitioner	$44.3K	$32.1K
Charles Alexis	OK	Geriatric Psychiatry Physician	$19.4K	$0
Jaymal Patel	GA	Psychiatry Physician	$16.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$212.2M
Southern Home Care Services, Inc.	GA	In Home Supportive Care Agency	$0	$42.9M
Behavioral Health Services Of South Georgia	GA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.1M
1st America Infusion Services LLC	GA	Home Infusion Therapy Pharmacy	$219.3K	$18.5M
Hospital Authority Of Valdosta And Lowndes County Georgia	GA	General Acute Care Hospital	$0	$14M
Choices For Life Of Georgia, LLC	GA	Community/Behavioral Health Agency	$0	$9M
Valdosta Children's Healthcare Center ,LLC	GA	Pediatric Adolescent Medicine Physician	$0	$6.5M
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$6.5M
Paula Bennett	GA	Nurse Practitioner	$0	$3.2M
William Tidmore	GA	Rheumatology Physician	$2.8M	$0

Sgmp Southland LLC — Billing Profile & Reimbursement Data

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Sgmp Southland LLC — 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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