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.

Emergency Physicians Inc (NPI 1477001972)

Emergency Physicians Inc is a emergency medicine physician provider located in Brunswick, Georgia. This profile covers 0 Medicare and 11 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	Emergency Physicians Inc
Address	2415 Parkwood Dr
City	Brunswick
State	GA
ZIP	31520
Taxonomy	Emergency Medicine Physician
NPI Enumerated	September 14, 2016

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	41,760	$80	$3.3M
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.	30,530	$90	$2.8M
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.	30,020	$50	$1.5M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6,750	$10	$40.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	110	$90	$9.7K
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,…	280	$10	$1.4K
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…	20	$90	$1.3K
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…	20	$20	$380
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.	10	$30	$330
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	20	$1	$50

Showing 1–10 of 11

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

Emergency Physicians Inc — 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

11 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.	14	140	200	$280	$1.9M
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.	10	230	120	$170	$937.5K
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.	17	240	170	$120	$779.3K
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.	47	50	600	$90	$409.7K
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…	817	920	370	$60	$360.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	28	50	180	$220	$177.6K
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,…	192	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…	260	310	90	$90	$136.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	15	100	250	$10	$31.7K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	7	10	130	$1	$920

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Inc	FL	Emergency Medicine Physician	$0	$34.2M
Harpreet Singh	FL	Family Medicine Physician	$670.8K	$0
John Irwin	GA	Emergency Medicine Physician	$16.8K	$227.5K
NPI 1225109911	—	—	$107.2K	$0
Christopher Bishop	OH	Emergency Medicine Physician	$95.4K	$0
Adam Lewis	GA	Emergency Medicine Physician	$90K	$0
Michael Pinell	GA	Emergency Medicine Physician	$85.8K	$0
Donald Covington	FL	Surgery Physician	$84.4K	$0
William Long	SC	Emergency Medicine Physician	$82K	$0
Jason Landry	SC	Emergency Medicine Physician	$75.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paradigm Labs, LLC	GA	Clinical Medical Laboratory	$3.1M	$19.6M
Gateway Community Service Board	GA	Community/Behavioral Health Agency	$0	$22.4M
Arc Of Georgia, LLC	GA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Emmanuel Gage	GA	Interventional Pain Medicine Physician	$1.1M	$0
Seaside Surgical, LLC	GA	Ophthalmologic Surgery Clinic/Center	$1M	$0
Diana L. Walther, Ph.d. PC	GA	Psychologist	$0	$841.2K
Edward Dipreta	GA	Dermatology Physician	$584.1K	$0
Ahmed Elsharkawi	GA	Nephrology Physician	$497K	$0
Mark Watkins	GA	Specialist	$485.6K	$0
Bonnie Brooks	GA	Ophthalmology Physician	$448.3K	$0

Emergency Physicians Inc — Billing Profile & Reimbursement Data

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Emergency Physicians Inc — 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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