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.

Behavioral Health Services Of South Georgia (NPI 1639219181)

Field	Value
Entity Type	Organization
Organization	Behavioral Health Services Of South Georgia
Address	3120 N Oak Street Ext Ste C
City	Valdosta
State	GA
ZIP	31602
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$30.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller at scale: there is no Medicare billing on file and total Medicaid revenue is $30.1M, indicating Medicaid is the primary and near-exclusive payer exposure for the organization. The NPI has been enumerated since 2007-02-07 (~19 years ago), signaling an established presence in the market rather than a recently formed operation.

Revenue is concentrated in a small set of outpatient/community behavioral-health services: the precomputed top three Medicaid codes account for 44.6% of the provider’s total Medicaid revenue. The leading individual codes are T2025 (70.4K claims, $77 avg paid/claim, $5.4M revenue, 18.0%), T1016 (67.4K claims, $68 avg paid/claim, $4.6M revenue, 15.2%), and H2017 (48.8K claims, $70 avg paid/claim, $3.4M revenue, 11.4%), which together drive nearly half of Medicaid receipts.

The code mix reflects a community-based mental health clinic model emphasizing case management, rehabilitation, and intensive community interventions: high-volume codes include T1016 (case management), H2017 (psychosocial rehabilitation), H0039 (assertive community treatment), and multiple psychotherapy CPTs (90834, 90837, 90832). Claim volumes and the nature of these services (frequent 15-minute units and long psychotherapy sessions) suggest a service-line built around ongoing outpatient care, care coordination, and community supports rather than episodic inpatient treatment.

The provider is a statewide leader on several utilization measures: T1016 ranks #1 of 14 providers in-state (100th percentile) and H0039 ranks #1 of 6 providers in-state (100th percentile), indicating market dominance for case management and ACT delivery in Georgia. These #1 rankings (100th percentile) coupled with the large claim counts (67.4K and 37.3K claims respectively) point to organizational scale and significant capacity for coordinated community-based care.

High-volume psychotherapy and E/M activity further underline an outpatient-focused practice: 99213 shows 46.1K claims with $2.2M revenue (7.4%) and ranks #22 of 917 providers in-state (98th percentile), while 90834 has 25.5K claims, $1.6M revenue (5.3%) and ranks #1 of 294 providers in-state (100th percentile). Together these figures indicate substantial routine outpatient clinical contact and a dependence on billed face-to-face encounters for revenue.

Several codes are flagged as statistical outliers or notably above typical state volume, reinforcing the provider’s concentrated service profile: 90834 and T1001 both rank at the 100th percentile (labeled "extreme outlier, far above typical state volume" for 90834 and T1001), 90832 is at the 99th percentile ("extreme outlier, far above typical state volume"), and H0031 is 99th percentile ("extreme outlier, far above typical state volume"). These extreme/outlier labels suggest the provider’s operational emphasis differs markedly from many in-state peers for specific service lines.

Not all service lines are exceptional; several codes show typical or unremarkable state-level volumes, which suggests the provider is specialized rather than universally dominant across behavioral health services. Examples include T2025 (ranks #7 of 30, 79th percentile; "typical, unremarkable volume for this code"), H0038 (ranks #6 of 11, 50th percentile; "typical, unremarkable volume for this code"), and multiple lower-volume codes listed in the mid-percentiles.

From a competitive and contractual perspective, the combination of concentrated Medicaid revenue ($30.1M), top‑rank positions on key community mental health codes, and almost no Medicare activity implies both opportunity and risk: the organization is a major Medicaid provider in Georgia for case management, ACT, rehabilitation, and psychotherapy, but its near-total reliance on Medicaid revenue concentrates financial and payer risk within a single payer. Analysts should treat Medicaid policy and rate changes as critical to this provider’s revenue outlook given the absence of Medicare diversification.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	70,430	$80	$5.4M
T1016	Case management, each 15 minutes	67,360	$70	$4.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	48,830	$70	$3.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	37,350	$90	$3.2M
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…	46,120	$50	$2.2M
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…	18,240	$100	$1.8M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	25,470	$60	$1.6M
H0031	Mental health assessment, by non-physician	17,630	$80	$1.4M
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…	11,350	$90	$1M
T1001	Nursing assessment / evaluation	19,510	$50	$897.4K

Showing 1–10 of 32

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

Behavioral Health Services Of South Georgia — 10 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	7	30	15,890	$130	$7.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1	10	24,810	$90	$2M
H0038	Self‑help/peer services, per 15 minutes	6	10	14,500	$60	$1.3M
T1016	Case management, each 15 minutes	1	10	4,850	$70	$923.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	3	20	3,800	$70	$896.7K
T2015	Habilitation, prevocational, waiver; per hour	2	10	4,890	$70	$673.5K
H2015	Comprehensive community support services, per 15 minutes	7	40	2,260	$70	$518.1K
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…	22	920	370	$60	$360.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4	50	260	$110	$248.9K
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…	67	820	390	$70	$245K

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Behavioral Health Services Of South Georgia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$212.2M
Southern Home Care Services, Inc.	GA	In Home Supportive Care Agency	$0	$42.9M
1st America Infusion Services LLC	GA	Home Infusion Therapy Pharmacy	$219.3K	$18.5M
Hospital Authority Of Valdosta And Lowndes County Georgia	GA	General Acute Care Hospital	$0	$14M
Choices For Life Of Georgia, LLC	GA	Community/Behavioral Health Agency	$0	$9M
Valdosta Children's Healthcare Center ,LLC	GA	Pediatric Adolescent Medicine Physician	$0	$6.5M
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$6.5M
Paula Bennett	GA	Nurse Practitioner	$0	$3.2M
William Tidmore	GA	Rheumatology Physician	$2.8M	$0
Sgmp Southland LLC	GA	Psychiatry Physician	$0	$1.6M

Behavioral Health Services Of South Georgia — Billing Profile & Reimbursement Data

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Behavioral Health Services Of South Georgia — 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