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.

Phoebe Physician Group, Inc (NPI 1487899464)

Key Findings

Field	Value
Entity Type	Organization
Organization	Phoebe Physician Group, Inc
Address	2002 Palmyra Rd Ste 201
City	Albany
State	GA
ZIP	31701
Taxonomy	Clinic/Center
NPI Enumerated	December 5, 2008

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

PHOEBE PHYSICIAN GROUP, INC reports no Medicare billing on file and $20.1M in lifetime Medicaid revenue, making its financial footprint essentially single‑payer (Medicaid) in the available claims dataset. Analysts should treat Medicaid as the primary source of fee‑for‑service activity when modeling payer mix or forecasting near‑term revenues for this entity.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 68.2% of the provider’s total Medicaid revenue, indicating heavy reliance on a small set of E/M services. Those three codes are dominated by office and inpatient evaluation & management services rather than procedure-driven or high-margin specialty interventions.

99214 is the single largest Medicaid revenue driver with 125.5K claims, $52 avg paid/claim, and $6.5M revenue (36.5% of this provider's total Medicaid revenue); it ranks #2 of 824 providers in-state and is labeled an extreme outlier. This establishes PHOEBE as a dominant statewide provider of established-patient outpatient visits at scale, implying a high-volume ambulatory clinic model focused on repeat and chronic care encounters.

99213 is the second major contributor with 102.8K claims, $45 avg paid/claim, and $4.6M revenue (25.9% of this provider's total Medicaid revenue); it ranks #5 of 917 providers in-state and is also an extreme outlier. Together with 99214, the 99213/99214 mix confirms the practice is largely driven by high-volume evaluation and management office visits rather than procedural specialties.

99232 (39.8K claims, $26 avg paid/claim, $1M revenue; 5.8% of total Medicaid revenue) ranks #5 of 191 providers in-state (98th percentile; extreme outlier), signaling substantial downstream inpatient follow-up or hospital‑based care coordination activity. The presence of both high outpatient E/M volume and significant 99232 billing suggests the clinic operates with integrated outpatient-to-inpatient workflows or maintains close hospital affiliations.

Clinical service mix shows meaningful obstetric/newborn and imaging activity beyond E/M: 99469 (3K claims, $332 avg paid/claim, $1M revenue) and 99479 (6K claims, $112 avg paid/claim, $675.6K revenue) point to neonatal critical care and low birth weight infant management, while ultrasound codes such as 76811 (1.6K claims, $163 avg paid/claim, $252.7K revenue) support maternity/OB imaging capacity. These codes indicate the provider’s services extend into perinatal and newborn care in addition to high-volume primary care.

Testing and ancillary services are notable by volume: 87880 (34.2K claims, $13 avg paid/claim, $445K revenue) ranks #3 of 262 providers in-state (99th percentile; notably above typical state volume) and 93010 (31K claims, $5 avg paid/claim, $154.8K revenue) ranks #5 of 101 (96th percentile). High claim counts for rapid diagnostics and ECG interpretation are consistent with a high-throughput ambulatory clinic that performs substantial point-of-care testing and routine cardiac screening.

Tenure and market position: the NPI was enumerated on 2008-12-05 (~18 years ago), indicating long-established operations in Albany, GA. Coupled with multiple code-level extreme outlier ranks in-state for core E/M services, this longevity and scale position PHOEBE as a major regional provider for Medicaid populations, but its lack of Medicare billing means its competitive footprint may be concentrated in Medicaid managed-care and fee-for-service markets rather than Medicare markets.

Medicaid: Complete Services Breakdown

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

225 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	125,500	$50	$6.5M
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…	102,840	$50	$4.6M
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…	39,810	$30	$1M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3,020	$330	$1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	6,030	$110	$675.6K
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.	34,230	$10	$445K
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…	5,900	$70	$383.4K
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,…	10,150	$30	$294.4K
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…	7,480	$40	$269.4K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	1,550	$160	$252.7K

Showing 1–10 of 225

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

Phoebe Physician Group, Inc — 9 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

225 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4	10	3,360	$330	$2.1M
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.	63	230	120	$170	$937.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	13	20	310	$900	$893.2K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	11	30	550	$540	$834.8K
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.	52	240	170	$120	$779.3K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	10	6,030	$100	$683.9K
J0585	Injection, onabotulinumtoxina, 1 unit	5	10	430	$950	$625.3K
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	5	10	190	$370	$561.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	6	20	290	$180	$423.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	13	70	380	$170	$423K

Showing 1–10 of 225

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoebe Putney Memorial Hospital Inc	GA	General Acute Care Hospital	$0	$84.3M
Thucanh Multerer	PA	Retina Specialist (Ophthalmology) Physician	$862.9K	$139.4K
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0
Layth Saymeh	GA	Gastroenterology Physician	$263.2K	$0
James Coman	OK	Clinical Cardiac Electrophysiology Physician	$235.7K	$0
Christopher Goltz	MI	Vascular Surgery Physician	$224.3K	$0
Marzena Buzanowska	OH	Physical Medicine & Rehabilitation Physician	$197.1K	$0
Daniel Martin	GA	Vascular Surgery Physician	$171.2K	$0
Derrick Taylor	GA	Internal Medicine Physician	$166.9K	$0
Jason Chapman	GA	Surgery Physician	$166K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Compassion, Comfort & Care	GA	In Home Supportive Care Agency	$0	$4.2M
Senior Solutions Home Care LLC	GA	Home Health Agency	$0	$2.5M
Albany Area Primary Health Care, Inc.	GA	Federally Qualified Health Center (FQHC)	$0	$1.5M
Dougherty County Board Of Health	GA	Public Health or Welfare Agency	$7.9K	$1.1M
Kids Come First Pediatrics PC	GA	Pediatrics Physician	$0	$826.8K
Katrina Wilburn-beckhom	GA	Behavior Analyst	$0	$657.9K
Dougherty County Commissioner Of Roads & Revenues	GA	Land Ambulance	$656.4K	$0
Sw Georgia Pathology Associates	GA	Anatomic Pathology & Clinical Pathology Physician	$0	$580.2K
Larry Davis	GA	Dentist	$0	$262.2K
The Renaissance Centre, Inc.	GA	Psychologist	$0	$227.9K

Phoebe Physician Group, Inc — 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