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.

Kids Prompt Care, LLC (NPI 1649544370)

Field	Value
Entity Type	Organization
Organization	Kids Prompt Care, LLC
Address	1456 Walton Way
City	Augusta
State	GA
ZIP	30901
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	February 27, 2012

Payer Source	Total Paid
Medicaid	$548.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	3,560	$70	$249.3K
T1015	Clinic visit/encounter, all-inclusive	1,190	$110	$127.8K
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…	1,450	$80	$117.1K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	2,600	$10	$31.1K
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…	180	$80	$14.8K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	360	$10	$5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	220	$10	$2.8K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	40	$10	$350
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$1	$80
J1100	Injection, dexamethasone sodium phosphate, 1 mg	20	$1	$20

Showing 1–10 of 11

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

Kids Prompt Care, LLC — 0 of 10 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

11 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…	205	920	370	$60	$360.6K
T1015	Clinic visit/encounter, all-inclusive	10	50	100	$100	$293.2K
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	820	390	$70	$245K
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…	44	310	90	$90	$136.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	121	130	480	$20	$59.9K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	59	80	190	$30	$49.9K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	6	50	380	$20	$33.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	150	260	350	$10	$30.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	121	250	330	$10	$29.9K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	71	80	290	$1	$3.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Kids Prompt Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Health Services,inc	GA	General Acute Care Hospital	$0	$2.3M
Stephen W. Brown And Radiology Associates Of Augusta LLP	GA	Diagnostic Radiology Physician	$0	$1.6M
Alice David	GA	Hematology & Oncology Physician	$1.4M	$0
Brent Limbaugh	GA	Hematology & Oncology Physician	$1.1M	$0
Felisha Lee	GA	Mental Health Counselor	$0	$978.1K
Nephrology Associates, PC	GA	Nephrology Physician	$0	$626.7K
Janet Davis	GA	Maternal & Fetal Medicine Physician	$0	$611.4K
William Tannehill	GA	Vascular & Interventional Radiology Physician	$609.6K	$0
Orthopaedic Associates Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$609.6K	$0
Augusta Developmental Specialists, LLC	GA	Developmental - Behavioral Pediatrics Physician	$0	$573.1K

Kids Prompt Care, LLC — Billing Profile & Reimbursement Data

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Kids Prompt Care, LLC — 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