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.

Dallas Family Practice Center PA (NPI 1568466035)

Field	Value
Entity Type	Organization
Organization	Dallas Family Practice Center PA
Address	318 Main St
City	Dallas
State	GA
ZIP	30132
Taxonomy	Family Medicine Physician
NPI Enumerated	June 12, 2005

Payer Source	Total Paid
Medicaid	$956.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,320	$60	$745.6K
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…	3,260	$40	$143.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	3,990	$10	$23.9K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	3,980	$10	$23.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,910	$10	$15.2K
J1040	Injection, methylprednisolone acetate, 80 mg	350	$10	$1.8K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	550	$1	$1.7K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	200	$10	$990
J1071	Injection, testosterone cypionate, 1 mg	40	$1	$40
J1030	Injection, methylprednisolone acetate, 40 mg	40	$1	$40

Showing 1–10 of 37

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

Dallas Family Practice Center PA — 0 of 11 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	216	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…	57	820	390	$70	$245K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	37	130	480	$20	$59.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	156	190	280	$1	$16K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	27	60	410	$10	$6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	3	40	260	$1	$5.1K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	4	30	120	$1	$3.7K
J1040	Injection, methylprednisolone acetate, 80 mg	7	30	90	$10	$3.5K
J1030	Injection, methylprednisolone acetate, 40 mg	18	20	310	$1	$2.1K
J1071	Injection, testosterone cypionate, 1 mg	3	10	310	$1	$1.4K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Dallas Family Practice Center PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joyce Ndichu	GA	Family Nurse Practitioner	$556.6K	$0
Georgia Ctc, LLC	GA	Methadone Clinic	$299.9K	$0
Michael Lott	GA	Pain Medicine Physician	$179.1K	$0
Tammie Mccallie	GA	Chiropractor	$55.4K	$0

Dallas Family Practice Center PA — Billing Profile & Reimbursement Data

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Dallas Family Practice Center PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References