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.

Pineland Area Community Services Board (NPI 1588735252)

Field	Value
Entity Type	Organization
Organization	Pineland Area Community Services Board
Address	11 N College St
City	Statesboro
State	GA
ZIP	30458
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicaid	$38.9M
Medicare	$0

Key Findings

PINELAND AREA COMMUNITY SERVICES BOARD is effectively a Medicaid-centered provider: there is no Medicare billing on file while total Medicaid revenue is $38.9M, indicating the organization operates almost entirely within the Medicaid payer stream rather than a mixed Medicare/Medicaid model. This single-payer profile shapes its revenue exposure and market priorities toward state-managed benefits and waiver programs.

Revenue is highly concentrated in a handful of waiver- and residential-related codes: the top 3 Medicaid codes account for 85.6% of the provider's Medicaid revenue, led by T2025 ($18.3M, 47.2%) and T2033 ($13.8M, 35.6%), with T2015 contributing $1.1M (2.8%). That centralization around those codes means a large portion of the $38.9M Medicaid intake depends on waiver services and residential per diem billing.

The code mix and top revenue drivers indicate core operations are community-based long-term supports rather than acute medical care: T2025 (waiver services nos), T2033 (residential care, waiver per diem) and T2015 (habilitation, prevocational per hour) point to a service-line emphasis on waiver administration, residential support, and prevocational habilitation rather than hospital or traditional outpatient medical services. This suggests operational capacity in group residences, long-term supports, and habilitation programming.

Competitive standing varies by service line: for T2025 the provider ranks #2 of 30 in-state (97th percentile) and is notably above typical state volume for waiver services, marking it as a major statewide player in that segment. For T2033 it ranks #4 of 10 (67th percentile), a more typical presence in residential per diem billing, while for T2015 it ranks #1 of 4 (100th percentile), indicating leadership among the small set of in-state habilitation providers.

Several non-top codes show the organization provides substantial outpatient behavioral health assessment and diagnostic services: H0031 ranks #8 of 76 (91th percentile; notably above typical state volume), H0032 ranks #4 of 65 (95th percentile; notably above typical state volume), and 90791 ranks #7 of 236 (97th percentile; extreme outlier, far above typical state volume). Those high-percentile positions reflect unusually large volumes of non-physician mental health assessment and psychiatric diagnostic evaluations relative to peers.

Clinical treatment capacity is also visible across psychotherapy and E/M codes: the provider reports notable volumes of 99213, 99214, 90837, 90834, and 90832 (each appearing in the top-25 Medicaid list at nontrivial revenue shares). These entries indicate the organization delivers ongoing outpatient evaluation-and-management and psychotherapy services in addition to waiver and residential supports.

There are explicit service gaps and specialization signals: H0039 (assertive community treatment, face-to-face) is reported at low relative volume (ranks #6 of 6, 0th percentile; notably below typical state volume), indicating limited ACT capacity compared with peers. Conversely, H2010 (comprehensive medication services) ranks #2 of 4 (67th percentile), showing some medication management capability but not a dominant statewide presence.

The provider has an established operational history with its NPI enumerated 2006-11-13 (~20 years ago), consistent with a stable, long-running community behavioral health agency. Given its long tenure and the fact that top revenue is concentrated in state waiver and residential codes, changes in state waiver policy or per diem rates could have outsized effects on the provider's Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	217,980	$80	$18.3M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	63,480	$220	$13.8M
T2015	Habilitation, prevocational, waiver; per hour	27,520	$40	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	14,670	$70	$1M
H0031	Mental health assessment, by non-physician	10,540	$60	$664.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4,280	$130	$539.2K
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…	8,140	$50	$431.5K
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…	5,640	$80	$428.6K
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…	3,230	$90	$287.5K
T2028	Specialized supply, not otherwise specified, waiver	1,610	$170	$266.9K

Showing 1–10 of 33

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

Pineland Area Community Services Board — 4 of 25 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4	10	32,460	$440	$30.4M
T2025	Waiver services; not otherwise specified (nos)	2	30	15,890	$130	$7.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	6	10	24,810	$90	$2M
H0038	Self‑help/peer services, per 15 minutes	8	10	14,500	$60	$1.3M
T1003	Lpn/lvn services, up to 15 minutes	15	20	470	$150	$1.1M
T1016	Case management, each 15 minutes	8	10	4,850	$70	$923.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	7	20	3,800	$70	$896.7K
T2028	Specialized supply, not otherwise specified, waiver	10	20	2,190	$210	$854K
T2015	Habilitation, prevocational, waiver; per hour	1	10	4,890	$70	$673.5K
H2015	Comprehensive community support services, per 15 minutes	18	40	2,260	$70	$518.1K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Pineland Area Community Services Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Air Evac Ems Inc	GA	Air Ambulance	$470.9K	$0

Pineland Area Community Services Board — Billing Profile & Reimbursement Data

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Pineland Area Community Services Board — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References