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.

Tifton Woman's Center, P.C. (NPI 1568538924)

Tifton Woman's Center, P.C. is a obstetrics & gynecology physician provider located in Tifton, Georgia. This profile covers 0 Medicare and 12 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	Tifton Woman's Center, P.C.
Address	1806 Lee Ave
City	Tifton
State	GA
ZIP	31794
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$291.6K
Medicare	$0

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

12 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…	2,320	$60	$141.6K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	770	$70	$53.1K
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…	310	$100	$29.4K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	220	$80	$17.8K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	4,390	$1	$13.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	350	$30	$12K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	1,260	$10	$10.1K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	140	$70	$9.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	70	$50	$3.1K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	10	$100	$1.2K

Showing 1–10 of 12

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

Tifton Woman's Center, P.C. — 0 of 12 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

12 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…	253	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…	431	820	390	$70	$245K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	43	60	550	$50	$193.7K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	17	40	210	$60	$88.3K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	55	60	310	$90	$79.6K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	31	60	150	$70	$77.2K
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…	131	130	480	$20	$59.9K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	12	60	120	$50	$34.8K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	24	50	200	$60	$31.3K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	46	140	270	$1	$11.2K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Stoltzman	CA	Obstetrics & Gynecology Physician	$50.6K	$45K
James Meserow	ND	Maternal & Fetal Medicine Physician	$0	$60K
Christopher Hicks	CA	Obstetrics & Gynecology Physician	$55.1K	$0
Melissa Moore	SC	Obstetrics & Gynecology Physician	$27.8K	$0
James Reed	FL	Obstetrics & Gynecology Physician	$20.5K	$0
Donald Menya	GA	Gynecologic Oncology Physician	$19.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tift Regional Dental Group, PC	GA	General Practice Dentistry	$0	$1.2M
Air Evac Ems, Inc.	GA	Air Ambulance	$423.2K	$0
Erica Arambulo	GA	Marriage & Family Therapist	$0	$263.7K
William Hancock	GA	Cardiovascular Disease Physician	$256.7K	$0
William Smith	GA	Orthopaedic Surgery Physician	$247.3K	$0
Benjamin Hess	GA	Family Medicine Physician	$242.4K	$0
Robert Muterspaugh	GA	Physician Assistant	$198.6K	$0
David Banks	GA	Orthopaedic Surgery Physician	$167.3K	$0
Corey Bichel	GA	Diagnostic Radiology Physician	$155.5K	$0
Anthony Burke	GA	Cardiovascular Disease Physician	$154.3K	$0

Tifton Woman's Center, P.C. — Billing Profile & Reimbursement Data

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Tifton Woman's Center, P.C. — 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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