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.

Diabetes Reimbursement Specialists (NPI 1538453402)

Field	Value
Entity Type	Organization
Organization	Diabetes Reimbursement Specialists
Address	235 Pharr Rd Ne
City	Atlanta
State	GA
ZIP	30305
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 8, 2011

Payer Source	Total Paid
Medicaid	$261.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	4,080	$60	$261.1K
3072F	The provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary.	3,180	$0	$0
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	50	$0	$0
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	770	$0	$0

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

Diabetes Reimbursement Specialists — 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	63	80	360	$10	$56.1K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	1	20	240	$50	$28K
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	1	10	410	$1	$430
3072F	The provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary.	1	10	20	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Diabetes Reimbursement Specialists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Lowrance	TN	Retina Specialist (Ophthalmology) Physician	$502.4K	$0
Thomas Browning	TN	Retina Specialist (Ophthalmology) Physician	$412.6K	$0

Nearby Providers

Other providers in the same ZIP code as Diabetes Reimbursement Specialists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Radiology Group LLC	GA	Diagnostic Radiology Physician	$0	$2.3M
Rattandeep Singh	GA	Rheumatology Physician	$915.7K	$0
Biz Info Tech Consulting Solutions, LLC	GA	Clinical Medical Laboratory	$601.8K	$110
Lynn Marsh	GA	Family Nurse Practitioner	$361.9K	$0
Virginia Forney	GA	Specialist	$329.5K	$0
Sylvia Wright	GA	Specialist	$172.1K	$0
Eugene Pretorius	GA	Diagnostic Radiology Physician	$137.9K	$720
Publix Super Markets Inc	GA	Community/Retail Pharmacy	$108.2K	$0
Walgreen Co	GA	Pharmacy	$95.4K	$0
Jacob Abraham	GA	Diagnostic Radiology Physician	$74.2K	$0

Diabetes Reimbursement Specialists — Billing Profile & Reimbursement Data

Sign up for Diabetes Reimbursement Specialists — Billing Profile & Reimbursement Data policy alerts

Diabetes Reimbursement Specialists — Billing Profile & Reimbursement Data

Sign up for Diabetes Reimbursement Specialists — 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