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.

Cogent Healthcare Of Georgia PC (NPI 1609827823)

Cogent Healthcare Of Georgia PC is a internal medicine physician provider located in Macon, Georgia. This profile covers 0 Medicare and 38 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	Cogent Healthcare Of Georgia PC
Address	400 Charter Blvd
City	Macon
State	GA
ZIP	31210
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	19,420	$70	$1.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	48,760	$30	$1.3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	41,740	$30	$1.2M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	8,320	$30	$274.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,510	$50	$125.3K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	16,170	$10	$113.2K
99220	N/A	780	$90	$68.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	360	$70	$24.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	840	$30	$21.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,550	$10	$20.2K

Showing 1–10 of 38

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

Cogent Healthcare Of Georgia PC — 5 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	160	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.	138	240	170	$120	$779.3K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	9	10	24,960	$20	$555.3K
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.	44	50	600	$90	$409.7K
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…	521	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…	602	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…	33	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.	222	250	660	$40	$172.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	160	230	$30	$141.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4	190	310	$30	$92K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minesh Patel	GA	Hematology & Oncology Physician	$2.4M	$0
Marc Coan	GA	Internal Medicine Physician	$261.3K	$0
Tolulola Adeola	NC	Hospitalist Physician	$191K	$0
Robert Walker	SC	Internal Medicine Physician	$135.5K	$0
Raja Khan	GA	Internal Medicine Physician	$133K	$0
Chetan Patel	GA	Internal Medicine Physician	$104.8K	$0
Muhammad Imran	MI	Internal Medicine Physician	$83.4K	$0
Roberto Romero	GA	Internal Medicine Physician	$43.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Pediatrics, PC	GA	Specialist	$0	$32.9M
Bradley Sumrall	GA	Medical Oncology Physician	$3.1M	$0
Harry Moore	GA	Medical Oncology Physician	$2.9M	$0
Tara Adams	GA	Nurse Practitioner	$2.9M	$0
Macon Outpatient Surgery, LLC	GA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Georgia Em-i Medical Services PC	GA	Physician Assistant	$0	$1.9M
Steven Allee	GA	Ophthalmology Physician	$1.7M	$0
Norman Nelson	GA	Ophthalmology Physician	$1.5M	$0
Central Georgia Cancer Care	GA	Specialist	$0	$1.2M
Arpan Bachhawat	GA	Retina Specialist (Ophthalmology) Physician	$1.2M	$0

Cogent Healthcare Of Georgia PC — Billing Profile & Reimbursement Data

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Cogent Healthcare Of Georgia PC — 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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