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.

Central Georgia Emergency Group, LLC (NPI 1598126641)

Key Findings

Field	Value
Entity Type	Organization
Organization	Central Georgia Emergency Group, LLC
Address	777 Hemlock St
City	Macon
State	GA
ZIP	31201
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 17, 2016

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

CENTRAL GEORGIA EMERGENCY GROUP, LLC in MACON, GA presents as an emergency medicine practice by specialty and billing pattern: the highest-volume codes are ED evaluation and management codes (99285, 99284, 99283), which together dominate its clinical footprint. The code mix indicates the group primarily delivers emergency department visits across a spectrum of acuity rather than longitudinal outpatient care.

Revenue for this provider is highly concentrated in three Medicaid codes: 99285 ($3.3M, 38.0%), 99284 ($3M, 34.1%), and 99283 ($2.2M, 25.5%); the precomputed top‑3 share is 97.6% of the provider’s total Medicaid revenue. This concentration shows that nearly all of the reported $8.8M in Medicaid revenue is generated by ED E/M services.

From a payer‑mix perspective the footprint is effectively single‑payer Medicaid: the profile shows Total Medicare revenue: none (no Medicare billing on file) alongside Total Medicaid revenue: $8.8M. That asymmetry means any network or utilization review should be evaluated primarily through a Medicaid lens rather than Medicare comparisons.

Competitive standing within Georgia is mixed across the top ED codes: the provider ranks #12 of 139 for 99285 (92th percentile) and #12 of 231 for 99284 (95th percentile) and #12 of 237 for 99283 (95th percentile). In plain terms, 99284 and 99283 volumes are described as "notably above typical state volume," while 99285 is characterized as "typical, unremarkable volume," indicating particularly strong throughput in moderate‑ and low‑MDM ED visits versus peers.

Claim volumes reinforce the ED throughput interpretation: 99285 has 31.3K claims, 99284 has 35.1K claims, and 99283 has 42.1K claims for Medicaid. Those large claim counts across acuity levels are consistent with a high‑volume emergency group handling broad ED demand rather than episodic clinic visits.

Ancillary and higher‑acuity services are present but represent small shares of revenue: 99291 (critical care) shows 268 claims and $23.9K revenue (0.3% of Medicaid revenue), and 99292 shows 101 claims and $3.5K revenue (0.0%). Routine ED diagnostics also appear in scale — 93010 records 9.9K claims and $19.8K revenue — suggesting frequent ECG use as part of ED workups.

There is limited outpatient/office visit billing relative to ED activity: 99213 has 1.2K claims and $71.8K revenue (0.8%) and 99214 has 486 claims and $40.8K revenue (0.5%). This pattern supports the conclusion that the organization’s operations and revenue streams are centered on emergency department care rather than on ambulatory continuity practice.

The provider’s NPI was enumerated (registered) 2016-03-17 (~10 years ago), indicating an established presence in the market. Given the concentrated Medicaid revenue base and dominance of ED E/M codes, payers and provider analysts should treat this entity as a specialized ED services group when assessing network capacity, utilization trends, or contract negotiations.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	31,350	$110	$3.3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	35,130	$90	$3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	42,140	$50	$2.2M
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…	1,160	$60	$71.8K
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…	490	$80	$40.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	270	$90	$23.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	9,880	$1	$19.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	70	$170	$12.1K
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…	100	$90	$9.4K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	180	$30	$5.5K

Showing 1–10 of 26

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

Central Georgia Emergency Group, LLC — 2 of 21 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	12	140	200	$280	$1.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	12	230	120	$170	$937.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	12	240	170	$120	$779.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	29	50	600	$90	$409.7K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	15	20	190	$140	$407.6K
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…	327	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…	384	820	390	$70	$245K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	21	50	180	$220	$177.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	185	250	660	$40	$172.7K
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,…	295	360	370	$50	$153.6K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Services Of Central Georgia, Inc	GA	Multi-Specialty Clinic/Center	$0	$18.5M
Middle Georgia Pediatrics	GA	Pediatric Adolescent Medicine Physician	$0	$4.2M
Linda Hendricks	GA	Specialist	$3.1M	$0
Mgas Holdings, LLC	GA	Ambulance	$2.5M	$36.9K
Marcus Weldon	GA	Hematology & Oncology Physician	$2.5M	$0
Cogent Healthcare Of Macon, LLC	GA	Internal Medicine Physician	$0	$1.8M
Central Georgia Pediatrics, Inc.	GA	Pediatric Adolescent Medicine Physician	$0	$1.6M
Alan Justice	GA	Internal Medicine Physician	$1.4M	$0
Central Georgia Pet LLC	GA	Radiation Oncology Physician	$1.4M	$0
Children's Neurology Ctr Macon, LLC	GA	Neurology with Special Qualifications in Child Neurology Physician	$0	$1.3M

Central Georgia Emergency Group, LLC — Billing Profile & Reimbursement Data

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Central Georgia Emergency Group, LLC — 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