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.

Mercymed Of Columbus Inc (NPI 1639450877)

Field	Value
Entity Type	Organization
Organization	Mercymed Of Columbus Inc
Address	3702 2nd Avenue
City	Columbus
State	GA
ZIP	31904
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 1, 2011

Payer Source	Total Paid
Medicaid	$531.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 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…	4,430	$60	$256.7K
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…	5,060	$40	$217.6K
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,…	670	$30	$18K
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.	1,100	$10	$15.4K
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,…	270	$30	$8K
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.	60	$50	$3.3K
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.	50	$60	$2.9K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	80	$30	$2.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	30	$70	$2.1K
D0330	N/A	30	$40	$1.1K

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

Mercymed Of Columbus Inc — 0 of 19 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
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.	167	240	170	$120	$779.3K
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…	165	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…	127	820	390	$70	$245K
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.	200	250	660	$40	$172.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	96	100	460	$10	$159.9K
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,…	195	360	370	$50	$153.6K
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…	260	310	90	$90	$136.3K
D0274	N/A	103	110	340	$30	$96.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	64	70	240	$70	$85.9K
D0150	Comprehensive oral evaluation – new or established patient	109	130	210	$30	$75.4K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Mercymed Of Columbus Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Mayfield	GA	Ophthalmology Physician	$2.6M	$0
Panvelkar And Panvelkar, LLC	GA	Pediatrics Physician	$0	$2.3M
The Allergy Center At Brookstone PC	GA	Allergy & Immunology Physician	$0	$1.9M
Eye Surgery Center Of West Georgia LLC	GA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Candler Road Dental, PC	GA	General Practice Dentistry	$0	$932.8K
Hiren Shah	GA	Cardiovascular Disease Physician	$757.1K	$0
Hunter Champion	GA	Cardiovascular Disease Physician	$744.8K	$0
Shane Darrah	GA	Interventional Cardiology Physician	$700K	$0
Gregory Parker	GA	Family Medicine Physician	$699.8K	$0
I Basilio Md, PC	GA	Pediatric Adolescent Medicine Physician	$0	$697K

Mercymed Of Columbus Inc — Billing Profile & Reimbursement Data

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Mercymed Of Columbus Inc — 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