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.

Dawsonville Family Medicine (NPI 1598950057)

Field	Value
Entity Type	Organization
Organization	Dawsonville Family Medicine
Address	1080 Lumpkin Campground Rd S
City	Dawsonville
State	GA
ZIP	30534
Taxonomy	Family Medicine Physician
NPI Enumerated	September 7, 2007

Payer Source	Total Paid
Medicaid	$249.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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
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…	3,550	$50	$188K
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…	1,090	$50	$59.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	60	$30	$1.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	30	$10	$270
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	10	$10	$80
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$1	$30
1036F	N/A	60	$0	$0
3008F	No Summary found for this code	70	$0	$0
3017F	Colorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or…	40	$0	$0
3725F	The provider screens a patient with dementia for the presence of depression, which is a mental disorder characterized by sadness, guilt feelings, hopelessness, or irritability.	100	$0	$0

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

Dawsonville Family Medicine — 0 of 6 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…	339	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…	149	820	390	$70	$245K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	110	160	260	$30	$54.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	169	190	280	$1	$16K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	115	150	130	$10	$15.2K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	39	40	260	$1	$5.1K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	28	50	140	$1	$450
3725F	The provider screens a patient with dementia for the presence of depression, which is a mental disorder characterized by sadness, guilt feelings, hopelessness, or irritability.	10	20	40	$1	$130
3008F	No Summary found for this code	69	100	230	$1	$110
1036F	N/A	63	90	150	$1	$100

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Dawsonville Family Medicine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vance Wood	GA	Clinical Psychologist	$0	$604.6K
Ramzi Ghosn	GA	Family Medicine Physician	$581.2K	$0
Commissioner Of Roads And Revenue Dawson County	GA	Land Ambulance	$341.9K	$0
Joseph Stapp	GA	Professional Counselor	$0	$337.4K
Nabil Keith	GA	Family Medicine Physician	$303.6K	$0
Kathy Howell	GA	Counselor	$0	$221.9K
Leena Lake	GA	Pain Medicine (Anesthesiology) Physician	$217.7K	$0
Eric Gruen	GA	Podiatrist	$180.5K	$0
Jennifer Owen	GA	Physical Therapist	$180.5K	$0
Billy Smith	GA	Physical Therapist	$93.2K	$0

Dawsonville Family Medicine — Billing Profile & Reimbursement Data

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Dawsonville Family Medicine — 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