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.

Rivercity Rehabilitation And Spine Specialists, P.C. (NPI 1538177290)

Field	Value
Entity Type	Organization
Organization	Rivercity Rehabilitation And Spine Specialists, P.C.
Address	2300 13th St
City	Columbus
State	GA
ZIP	31906
Taxonomy	Pain Medicine (Psychiatry & Neurology) Physician
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$174K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	9,220	$10	$110.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2,190	$20	$35K
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…	850	$30	$24.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	50	$60	$3.1K
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	$30	$590
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	$1	$60
0518F	No Summary found for this code	30	$0	$0
1036F	N/A	410	$0	$0
3288F	No Summary found for this code	30	$0	$0
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	350	$0	$0

Showing 1–10 of 13

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

Rivercity Rehabilitation And Spine Specialists, P.C. — 0 of 6 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	31	30	940	$30	$467.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	38	70	2,840	$30	$428.7K
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…	116	920	370	$60	$360.6K
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…	315	820	390	$70	$245K
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…	249	310	90	$90	$136.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	30	160	$1	$1.3K
1036F	N/A	32	90	150	$1	$100
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	20	40	340	$1	$60
0518F	No Summary found for this code	3	10	30	$0	$0
3288F	No Summary found for this code	8	10	50	$0	$0

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rivercity Rehabilitation And Spine Specialists, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary Dawson	GA	Pain Medicine (Psychiatry & Neurology) Physician	$265.1K	$0
Marzena Buzanowska	OH	Physical Medicine & Rehabilitation Physician	$197.1K	$0
Casey Leong	GA	Physical Medicine & Rehabilitation Physician	$74.1K	$0

Nearby Providers

Other providers in the same ZIP code as Rivercity Rehabilitation And Spine Specialists, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Georgia Consolidated Government	GA	Land Ambulance	$747.1K	$0
Health Investment Group Inc	GA	Land Ambulance	$467.4K	$0
Kendra Williams	GA	Nephrology Physician	$287.5K	$0
Midtown Surgery Center	GA	Ambulatory Surgical Clinic/Center	$215.6K	$0
Fahd Syed	GA	Nephrology Physician	$170.4K	$0
Saeed Zafar	GA	Specialist	$164.8K	$0
Folarin Olubowale	GA	Infectious Disease Physician	$119.6K	$340

Rivercity Rehabilitation And Spine Specialists, P.C. — Billing Profile & Reimbursement Data

Sign up for Rivercity Rehabilitation And Spine Specialists, P.C. — Billing Profile & Reimbursement Data policy alerts

Rivercity Rehabilitation And Spine Specialists, P.C. — Billing Profile & Reimbursement Data

Sign up for Rivercity Rehabilitation And Spine Specialists, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References