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.

The Hospital Authority Of Habersham County (NPI 1689736282)

Field	Value
Entity Type	Organization
Organization	The Hospital Authority Of Habersham County
Address	541 441 Historic Hwy N
City	Demorest
State	GA
ZIP	30535
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available files: there is no Medicare billing on file while Total Medicaid revenue is $11.8M, so Medicaid accounts for the entirety of reported lifetime federal program revenue. That concentration means payer‑mix exposure is focused on state Medicaid policy and reimbursement dynamics rather than Medicare trends or dual‑payer balancing.

Revenue concentration is heavily skewed toward emergency department E/M codes: the precomputed top‑3 Medicaid codes (99283, 99284, 99282) account for 64.6% of the provider's total Medicaid revenue. The single largest line is 99283 ($3.8M, 35.2% of Medicaid revenue), followed by 99284 ($2.1M, 19.7%) and 99282 ($1M, 9.7%), indicating a narrow set of codes drive most Medicaid dollars.

The code mix points to an ED/acute care operational footprint consistent with the Rural Acute Care Hospital taxonomy: high volumes for ED E/M codes (99283/99284/99282/99285), substantial imaging (74177, 74176, 70450, 71045, 71046), routine lab panels (80053, 85025), and frequent IV/infusion/injection services (96374, 96372, , ). This pattern suggests the hospital functions primarily as a local emergency and observation center with on‑site diagnostic and infusion capacity rather than a specialty outpatient hub.

Competitive standing on the core ED codes is above average statewide but not singularly dominant: 99283 ranks #20 of 237 (92th percentile) and is labeled in the data as 'typical, unremarkable volume for this code,' 99284 ranks #24 of 231 (90th percentile), and 99282 ranks #9 of 50 (84th percentile). Those placements indicate the hospital has relatively high ED activity among Georgia peers but remains one of many providers with similar case volumes rather than an outsized market leader.

Operational throughput is high in both ED visits and supporting services: 99283 has 22.3K claims, 99284 11.8K claims, and several diagnostic/lab codes show large claim counts (80053: 22.4K claims; 85025: 23.1K claims; 93005: 10.3K claims). In addition, infusion/injection activity is substantial (96374: 8.9K claims; 96375: 7.4K claims; 96372: 7.3K claims), reinforcing that a high volume of short‑stay, procedure‑oriented encounters underpins Medicaid revenue.

Observation and ancillary services contribute but are not the primary drivers: G0378 observation service represents $181.7K (1.7% of Medicaid revenue) and ranks #11 of 21 (50th percentile), and advanced testing such as G0480 and 0241U appear in the mid‑tail of revenue (G0480 $70.4K, 0241U $283.2K). These entries signal the hospital operates an observation/diagnostic capacity typical for its peer group rather than an exceptional specialty or tertiary service line.

The provider has long tenure in the NPI registry (enumerated 2006-12-14, ~20 years ago), indicating stability of the billing entity and giving analysts a multi‑year baseline for trend analysis. That longevity combined with Medicaid dependency suggests monitoring trends in the top ED codes (99283, 99284, 99282) and related imaging/lab volumes will be most informative for forecasting near‑term revenue risk.

From a risk and strategic perspective, the combination of single‑payer Medicaid reliance and heavy concentration in three ED codes (64.6% of Medicaid revenue) creates sensitivity to changes in Medicaid policy, ED utilization patterns, or coding intensity. Because the hospital reports no Medicare billing on file, any shifts that would normally be mitigated by Medicare revenue are not available here, so payers and provider analysts should track reimbursement or utilization shifts for 99283, 99284, and 99282 closely as primary levers for material impact on the facility's revenue base.

Medicaid: Complete Services Breakdown

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

195 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	22,330	$170	$3.8M
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.	11,820	$180	$2.1M
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.	10,620	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4,560	$170	$775.4K
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…	4,570	$70	$324.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,410	$130	$313.2K
0241U	N/A	4,570	$60	$283.2K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,100	$100	$213.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3,130	$60	$191.2K
G0378	Hospital observation service, per hour	2,070	$90	$181.7K

Showing 1–10 of 195

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

The Hospital Authority Of Habersham County — 0 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

195 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	4	10	140	$350	$3.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	29	140	200	$280	$1.9M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	4	10	840	$90	$1.5M
G0378	Hospital observation service, per hour	11	20	2,070	$160	$1.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	5	10	7,030	$170	$992.1K
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.	24	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.	20	240	170	$120	$779.3K
A0425	Ground mileage, per statute mile	18	30	290	$50	$537.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	9	30	3,810	$70	$500.3K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14	30	940	$30	$467.9K

Showing 1–10 of 195

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Hospital Authority Of Habersham County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Cope	GA	Internal Medicine Physician	$217.7K	$0
William Weaver	GA	Internal Medicine Physician	$183.9K	$0
Floyd Sanders	GA	Internal Medicine Physician	$155.8K	$0
Kristopher Wheeler	GA	Orthopaedic Surgery Physician	$109.4K	$0

Nearby Providers

Other providers in the same ZIP code as The Hospital Authority Of Habersham County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ravin Talati	GA	Family Medicine Physician	$299.5K	$0
Aruana Emergency Physicians LLC	GA	Emergency Medicine Physician	$0	$196K
Donald Fordham	GA	Family Medicine Physician	$83.3K	$0
Amanda Pipkin	GA	Surgical Physician Assistant	$58.4K	$0
Alan Inglett	GA	Certified Registered Nurse Anesthetist	$54.5K	$0
Lance Johnson	GA	Certified Registered Nurse Anesthetist	$54.1K	$0
Kerry Metcalf	GA	Certified Registered Nurse Anesthetist	$49K	$0
Jay Watson	GA	Certified Registered Nurse Anesthetist	$44.1K	$0
Mri & Imaging Of Georgia, LLC	GA	Radiology Clinic/Center	$26.6K	$0
Brandon Reddock	GA	Certified Registered Nurse Anesthetist	$24.9K	$0

The Hospital Authority Of Habersham County — Billing Profile & Reimbursement Data

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The Hospital Authority Of Habersham County — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References