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.

Candler Ent Practice, LLC (NPI 1477969749)

Candler Ent Practice, LLC is a otolaryngology physician provider located in Savannah, Georgia. This profile covers 0 Medicare and 15 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	Candler Ent Practice, LLC
Address	5356 Reynolds Street
City	Savannah
State	GA
ZIP	31405
Taxonomy	Otolaryngology Physician
NPI Enumerated	July 8, 2014

Payer Source	Total Paid
Medicaid	$776.9K
Medicare	$0

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

15 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…	5,760	$50	$264.8K
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…	2,010	$80	$154.8K
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…	1,250	$110	$140.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	340	$220	$73.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	250	$150	$37.6K
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…	440	$80	$36.2K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	1,540	$20	$26.2K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	420	$50	$19.9K
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,…	510	$30	$13.2K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	40	$110	$3.9K

Showing 1–10 of 15

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

Candler Ent Practice, LLC — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	7	20	190	$1,120	$833.4K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	10	20	260	$560	$608.1K
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…	153	920	370	$60	$360.6K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	4	10	30	$920	$289K
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…	396	820	390	$70	$245K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	28	30	90	$160	$236.3K
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,…	165	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…	36	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…	26	230	100	$110	$97.1K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	8	10	150	$70	$89.3K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Haberman	FL	Hematology (Internal Medicine) Physician	$2M	$0
Asit Jha	GA	Medical Oncology Physician	$1.7M	$0
John Mikell	GA	Radiation Oncology Physician	$676.4K	$0
Anna Harris	AL	Radiation Oncology Physician	$560.9K	$0
John Pablo	GA	Radiation Oncology Physician	$442.5K	$0
Jill Trumble	GA	Neurology Physician	$283.9K	$0
Stephen Goldner	NC	Internal Medicine Physician	$254.7K	$0
Mark Jones	KY	Radiation Oncology Physician	$244.3K	$0
Joshua Mckenzie	GA	Radiation Oncology Physician	$211.8K	$0
Luann Aquino	SC	Internal Medicine Physician	$194.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curtis V. Cooper Primary Health Care Inc.	GA	Federally Qualified Health Center (FQHC)	$0	$16.3M
Mercy Ambulance Service Inc.	GA	Land Ambulance	$2.8M	$43.1K
Sleep Management, L.L.C.	GA	Oxygen Equipment & Supplies (DME)	$0	$1.9M
Charles Harris	GA	Ophthalmology Physician	$1.2M	$0
Chatham Orthopaedic Asc, LLC	GA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Tattnall Hospital Company, LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Recovery Place Community Services, Inc.	GA	Community/Behavioral Health Agency	$0	$992K
Roberto Cossio	GA	Pediatrics Physician	$0	$874.8K
Lewis Collins	GA	Dermatology Physician	$748.9K	$0
David Cheng	GA	Urology Physician	$654.4K	$0

Candler Ent Practice, LLC — Billing Profile & Reimbursement Data

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Candler Ent Practice, 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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