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.

Columbus Medical Services (NPI 1528129541)

Field	Value
Entity Type	Organization
Organization	Columbus Medical Services
Address	2300 Henderson Mill Rd Ne
City	Atlanta
State	GA
ZIP	30345
Taxonomy	Case Management Agency
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$68.5M
Medicare	$0

Key Findings

COLUMBUS MEDICAL SERVICES is registered as a Case Management Agency and has an NPI enumerated 2006-12-13 (~20 years ago), indicating long tenure in the market and sustained enrollment as a provider in ATLANTA, GA. The longevity supports operational experience in Medicaid case management workflows and payer interactions.

This provider has no Medicare billing on file (none), and all documented government revenue is Medicaid-only ($68.5M), making it effectively a single-payer Medicaid operation; there is no material Medicare presence to diversify revenue. That payer mix exposure means performance and policy changes in Medicaid would directly affect the provider’s entire billed portfolio.

Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and that entire Medicaid revenue is driven by a single code, T2022. This concentration indicates operational dependence on a single service line—monthly case management—rather than a diversified set of billable clinical services.

T2022 (Case management, per month) is the sole revenue driver on file with 351.1K claims, $195 avg paid/claim, and $68.5M revenue, which is consistent with recurring monthly billing to a large panel of managed cases or members. The profile suggests the organization’s core business model centers on ongoing case coordination rather than episodic clinical interventions.

Competitive standing in-state is dominant for the T2022 code: the provider ranks #1 of 5 providers in-state and sits at the 100th percentile, described as notably above typical state volume for this code. This ranking signals the provider is a major in-state player for Medicaid case management and likely competes from a position of scale relative to peers.

The claim volume (351.1K claims) combined with the $195 average paid per claim implies substantial recurring monthly service delivery and administrative throughput; operational capacity and billing infrastructure must support high-volume monthly submissions. Analysts should interpret the high claim count as evidence of scale in case management operations rather than a diverse clinical service mix.

Revenue concentration in a single monthly case-management code creates strategic and financial risk: any changes to coverage, rate-setting, or program eligibility for T2022 could materially affect the provider’s entire reported Medicaid revenue base of $68.5M. From a contract and risk-management perspective, this provider would be sensitive to policy shifts targeted at case management reimbursement.

Given the absence of Medicare activity (none) and the statewide top ranking on T2022, competitive analysis should treat COLUMBUS MEDICAL SERVICES as a specialized, Medicaid-focused case management leader in Georgia rather than a multi-line clinical provider; future due diligence should prioritize Medicaid policy, program stability, and client panel composition when assessing sustainability or partnership potential.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	351,120	$200	$68.5M

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

Columbus Medical Services — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	1	10	240	$190	$17M

Nearby Providers

Other providers in the same ZIP code as Columbus Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Normal Life Of Georgia	GA	Community/Behavioral Health Agency	$0	$165.4M
Rescare Georgia	GA	Community/Behavioral Health Agency	$0	$93.8M
Luis Limeres	GA	Dentist	$0	$866.1K
Cope Behavior Health, LLC	GA	Mental Illness Community Based Residential Treatment Facility	$0	$535.5K
Ronterius Sanders	GA	Mental Health Counselor	$0	$309.8K
Ki Jung	GA	Neurology Physician	$124.7K	$0
Viral Patel	GA	Diagnostic Radiology Physician	$87.4K	$0
Publix Super Markets Inc	GA	Community/Retail Pharmacy	$80.7K	$0
John Sass	GA	Clinical Neuropsychologist	$37.1K	$0
Robert Bashuk	GA	Neurology Physician	$23K	$0

Columbus Medical Services — Billing Profile & Reimbursement Data

Sign up for Columbus Medical Services — Billing Profile & Reimbursement Data policy alerts

Columbus Medical Services — Billing Profile & Reimbursement Data

Sign up for Columbus Medical Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References