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.

Ispm Asc At Covington, LLC (NPI 1528297140)

Field	Value
Entity Type	Organization
Organization	Ispm Asc At Covington, LLC
Address	5303 Adams Street
City	Covington
State	GA
ZIP	30014
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 2, 2009

Payer Source	Total Paid
Medicare	$244.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	230	$270	$60.8K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	100	$590	$57.4K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	190	$210	$39.2K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	130	$260	$32.5K
64633	In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	30	$580	$19K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	60	$260	$16.1K
62321	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…	30	$240	$8.1K
64640	Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.	110	$70	$7.7K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	10	$260	$3.3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	30	$20	$600

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Ispm Asc At Covington, LLC — 0 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. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64635	59	270	50	$380	$27.7K
64483	45	360	70	$200	$23.7K
G0260	13	90	70	$200	$23.2K
64493	61	320	60	$190	$16.8K
64633	46	130	30	$400	$13.9K
64490	42	180	40	$200	$9.9K
62323	274	280	40	$150	$9.3K
62321	100	230	30	$160	$7.1K
64640	5	20	20	$100	$5.8K
20610	930	1,320	60	$50	$5.8K

Nearby Providers

Other providers in the same ZIP code as Ispm Asc At Covington, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lisa D Miller Md Pediatrics PC	GA	Pediatrics Physician	$0	$3M
Manning Pediatrics LLC	GA	Pediatrics Physician	$0	$1.4M
Georgia Em-i Medical Services PC	GA	Emergency Medicine Physician	$0	$791K
Joseph Overton	GA	Dermatology Physician	$571.5K	$0
Georgia Ophthalmologists LLC	GA	Ambulatory Surgical Clinic/Center	$471.8K	$0
David Rosenfeld	GA	Anesthesiology Physician	$345.4K	$0
Dsi Renal Inc	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$309K
Bradley Jacoby	GA	Ophthalmology Physician	$293.1K	$0
Jessica Morris	GA	Mental Health Counselor	$0	$287.5K
Jose Bigles-geigel	GA	Ophthalmology Physician	$257.5K	$0

Ispm Asc At Covington, LLC — Billing Profile & Reimbursement Data

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Ispm Asc At Covington, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References