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.

Rudolph Martin (NPI 1568695021)

Field	Value
Entity Type	Individual
Organization	Rudolph Martin
Address	3575 Macon Rd Ste 8
City	Columbus
State	GA
ZIP	31907
Taxonomy	Counselor
NPI Enumerated	September 1, 2009

Payer Source	Total Paid
Medicaid	$626.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,590	$90	$389.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,970	$20	$183.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	360	$50	$19.5K
H0032	Mental health service plan development by non-physician	200	$100	$19.2K
H0031	Mental health assessment, by non-physician	40	$110	$4.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	60	$70	$4K
G9001	Coordinated care fee, initial rate	110	$30	$2.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	90	$30	$2.7K
Q3014	Telehealth originating site facility fee	10	$20	$190

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

Rudolph Martin — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	6	50	260	$110	$248.9K
H0031	Mental health assessment, by non-physician	46	80	80	$110	$233.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	66	880	410	$90	$148.7K
H0032	Mental health service plan development by non-physician	27	70	70	$90	$96.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	122	290	240	$70	$69.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	87	140	130	$40	$59.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	99	140	210	$80	$54.1K
Q3014	Telehealth originating site facility fee	56	60	160	$20	$19.2K
G9001	Coordinated care fee, initial rate	9	20	110	$20	$6.5K

Nearby Providers

Other providers in the same ZIP code as Rudolph Martin, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ems Care Ambulance LLC	GA	Land Ambulance	$2.3M	$515.7K
Kenneth B Walker Residential Home Inc	GA	Mental Illness Community Based Residential Treatment Facility	$0	$1.1M
Pauline Henry	GA	Behavior Analyst	$0	$1M
Tenika Turner	GA	Mental Health Counselor	$0	$517.5K
Xavier Mccaskey	GA	School Psychologist	$0	$272.3K
Peggy Baltimore	GA	Clinical Social Worker	$0	$187.1K

Rudolph Martin — Billing Profile & Reimbursement Data

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Rudolph Martin — 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