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.

Stone Mountain Immediate Medical Care, Inc. (NPI 1578569323)

Stone Mountain Immediate Medical Care, Inc. is a health maintenance organization provider located in Stone Mountain, Georgia. This profile covers 0 Medicare and 18 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	Stone Mountain Immediate Medical Care, Inc.
Address	833 N Hairston Rd
City	Stone Mountain
State	GA
ZIP	30083
Taxonomy	Health Maintenance Organization
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicaid	$263.7K
Medicare	$0

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

18 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…	3,610	$50	$177.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,270	$10	$20.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	520	$30	$15.4K
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…	170	$80	$12.9K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	320	$30	$10.1K
99203	The provider sees a new 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 provider…	70	$100	$7.2K
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	1,730	$1	$6.9K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	1,980	$1	$5.9K
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.	280	$10	$2.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	20	$100	$1.4K

Showing 1–10 of 18

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

Stone Mountain Immediate Medical Care, Inc. — 0 of 16 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

18 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…	204	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…	502	820	390	$70	$245K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	154	170	500	$100	$170.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	163	360	370	$50	$153.6K
99203	The provider sees a new 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 provider…	170	310	90	$90	$136.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	146	160	190	$110	$129.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	49	140	940	$1	$82.1K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	18	30	510	$50	$71.5K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	60	60	240	$20	$60.4K
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	8	20	360	$1	$16.3K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward M. Gotlieb, M.d., Et Al Dba The Pediatric Center	GA	Pediatrics Physician	$0	$5.6M
Rose Petal Falls, LLC	GA	Home Health Agency	$0	$4.6M
Metro Ambulance Services Inc	GA	Ambulance	$3.8M	$7.1K
Access Home Care, LLC	GA	In Home Supportive Care Agency	$0	$1.6M
Medcura Health, Inc.	GA	Federally Qualified Health Center (FQHC)	$0	$1.4M
Kevin Tucker	GA	Professional Counselor	$0	$842.9K
Memorial Drive Family Medicine P.C	GA	Family Medicine Physician	$0	$522K
Stone Mountain Dialysis Center, LLC	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$450.9K
E Z Transportation LLC	GA	Non-emergency Medical Transport (VAN)	$411.2K	$0
Lilian Mugwede	GA	Family Nurse Practitioner	$130.6K	$0

Stone Mountain Immediate Medical Care, Inc. — Billing Profile & Reimbursement Data

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Stone Mountain Immediate Medical Care, Inc. — 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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