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.

Statesboro Hma Physician Management LLC (NPI 1558412023)

Statesboro Hma Physician Management LLC is a hospitalist physician provider located in Statesboro, Georgia. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Statesboro Hma Physician Management LLC
Address	1499 Fair Rd
City	Statesboro
State	GA
ZIP	30458
Taxonomy	Hospitalist Physician
NPI Enumerated	January 13, 2007

Payer Source	Total Paid
Medicaid	$180K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,950	$20	$99K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	520	$60	$30.5K
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.	390	$60	$21.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	550	$40	$20.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	130	$30	$3.5K
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.	30	$70	$2.1K
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…	230	$1	$920
99219	N/A	20	$30	$730
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…	160	$1	$490
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…	30	$10	$340

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

Statesboro Hma Physician Management 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. Georgia median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	181	230	120	$170	$937.5K
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.	90	240	170	$120	$779.3K
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…	556	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…	465	820	390	$70	$245K
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…	143	160	230	$30	$141.4K
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…	28	190	310	$30	$92K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	25	110	80	$70	$81.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	33	60	130	$40	$37.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	11	70	50	$50	$17.3K
99219	N/A	8	10	60	$60	$11K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mueez Ahmed	GA	Cardiovascular Disease Physician	$323.2K	$0
Andrew Cichelli	GA	Pulmonary Disease Physician	$119.1K	$0
Lajide Lawoyin	GA	Hospitalist Physician	$67.8K	$0
Elizabeth Shay	GA	Certified Registered Nurse Anesthetist	$33.9K	$0
Gaboy Jupiter	NC	Nurse Practitioner	$2.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pineland Area Community Services Board	GA	Community/Behavioral Health Agency	$0	$38.9M
Stephen Cauley	GA	Optometrist	$0	$11.9M
East Georgia Pediatrics	GA	Specialist	$0	$4M
Cardiovascular Associates Of Eastern Georgia	GA	Specialist	$0	$1.2M
Reliance Treatment Center Of Statesboro	GA	Methadone Clinic	$45.5K	$1.1M
Ogeechee Ob-gyn, LLC	GA	Obstetrics & Gynecology Physician	$0	$779.5K
Statesboro Cardiology, PC	GA	Cardiovascular Disease Physician	$0	$707.4K
James Jackson	GA	Nephrology Physician	$301.4K	$300.4K
Ajay Jain	GA	Cardiovascular Disease Physician	$586.7K	$0
Bulloch County Emergency Medical Service	GA	Land Ambulance	$575.3K	$0

Statesboro Hma Physician Management LLC — Billing Profile & Reimbursement Data

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Statesboro Hma Physician Management LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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