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.

Arthur M. Blank Hospital, Inc. (NPI 1689744450)

Field	Value
Entity Type	Organization
Organization	Arthur M. Blank Hospital, Inc.
Address	2220 N Druid Hills Rd Ne
City	Atlanta
State	GA
ZIP	30329
Taxonomy	Children's Hospital
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$116.5M
Medicare	$0

Key Findings

ARTHUR M. BLANK HOSPITAL, INC. reports no Medicare billing on file and $116.5M in lifetime Medicaid revenue, making Medicaid the effective sole payer on record for this NPI. This payer concentration means analysis and financial exposure should focus on Medicaid reimbursement trends and policy changes rather than Medicare dynamics for this entity.

Revenue is heavily concentrated in three emergency department evaluation-and-management codes: the top 3 Medicaid codes by revenue account for 77.2% of the provider’s total Medicaid revenue. Specifically, 99285 generated $39.8M (39.4%), 99284 generated $20.9M (20.7%), and 99283 generated $17.2M (17.0%), indicating that ED visits drive the majority of billed Medicaid revenue.

The code mix and volumes point to an ED-centric pediatric hospital operation. High claim counts for core ED codes (99285: 32.9K claims; 99284: 34.9K claims; 99283: 48K claims) coupled with the provider’s Children’s Hospital taxonomy suggest substantial acute care throughput and around-the-clock emergency services as the primary revenue engine.

Competitive standing within Georgia is strong for emergency services: 99283 ranks #8 of 237 providers (97th percentile), 99284 ranks #13 of 231 (95th percentile), and 99285 ranks #11 of 139 (93th percentile); all three are described as notably above typical state volume. These ranks position the hospital as a major in-state ED provider for the populations covered by Medicaid, particularly for higher-volume pediatric emergency care.

Beyond emergency visits, the hospital bills for higher-cost biologic and infusion therapies at modest revenue shares but high per-claim payments, indicating specialized outpatient infusion capacity. Examples include Q5103 (inflectra) with 289 claims, $6598 avg paid/claim, $1.9M revenue (ranks #1 of 2, 100th percentile) and J1569 (gammagard liquid) with 649 claims, $3248 avg paid/claim, $2.1M revenue (ranks #2 of 3, 50th percentile); these codes reflect an infusion/biologic service line that complements the ED and specialty care footprint.

Service breadth is evident in imaging, procedural, and specialty diagnostics that support a full pediatric hospital: 70551 MRI brain (2K claims; $1107 avg; $2.2M revenue), 70553 MRI with and without contrast ($1.3M), 76825 fetal echocardiography ($1M), 95810 polysomnography ($1.2M), and surgical codes such as 42820 tonsillectomy/adenoidectomy ($996.6K). These volumes show a multidisciplinary set of inpatient/outpatient services beyond emergency care, including radiology, cardiology, sleep medicine, and pediatric surgery.

The NPI was enumerated on 2006-11-09 (~20 years ago), indicating a long-standing presence in the market. Given that a large share of Medicaid revenue is tied to a small set of ED codes (77.2% concentrated in the top three), the provider’s financial performance is sensitive to changes in ED utilization patterns, Medicaid reimbursement rules, or coding practices; analysts should prioritize monitoring ED volumes and policy shifts affecting ED E/M reimbursement.

Medicaid: Complete Services Breakdown

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

360 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	32,900	$1,210	$39.8M
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.	34,880	$600	$20.9M
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.	47,960	$360	$17.2M
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	1,960	$1,110	$2.2M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	650	$3,250	$2.1M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	290	$6,600	$1.9M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	3,030	$500	$1.5M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	750	$1,780	$1.3M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	630	$1,930	$1.2M
J3490	Unclassified drugs	23,200	$50	$1.1M

Showing 1–10 of 360

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

Arthur M. Blank Hospital, Inc. — 2 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

360 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	3	10	1,420	$1,740	$4.4M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2	10	1,010	$3,000	$3M
44970	Laparoscopy, surgical, appendectomy	4	10	20	$4,080	$2.5M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	2	10	650	$2,620	$2.5M
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.	11	140	200	$280	$1.9M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	4	10	360	$1,510	$1.6M
70543	The provider obtains multi–sequence and multi–planar images of the orbits, face, and/or neck initially without the use of contrast and then injects contrast to see additional images and diagnose…	3	10	470	$1,970	$1.5M
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	4	10	380	$460	$1.3M
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	4	10	290	$1,900	$1.2M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	1	10	190	$6,110	$1.1M

Showing 1–10 of 360

Related Providers

Other providers that share a Tax Identification Number (TIN) with Arthur M. Blank Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scottish Rite Children's Medical Center	GA	Pediatric Hematology & Oncology Physician	$0	$493.4M
Egleston Children's Hospital At Emory University, Inc.	GA	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$222.6M
Urgent Care At Children's, Inc.	GA	Pediatrics Physician	$0	$48.8M
John Millichap	IL	Neurology with Special Qualifications in Child Neurology Physician	$49.3K	$239.6K
Ronald Parsons	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$99K	$0
Idelberto Badell	GA	Surgery Physician	$53.1K	$0
Bryce Gillespie	GA	Orthopaedic Hand Surgery Physician	$34.4K	$0
Paul Tso	GA	Transplant Surgery Physician	$34.3K	$0
Nancy Hammond	KS	Neurology Physician	$20.2K	$0
Field Willingham	GA	Gastroenterology Physician	$15.7K	$0

Nearby Providers

Other providers in the same ZIP code as Arthur M. Blank Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Emory Clinic Inc	GA	Ambulatory Surgical Clinic/Center	$1.4M	$26.6M
Lifebrite Laboratories, LLC	GA	Clinical Medical Laboratory	$526K	$9.4M
Marcus Autism Center, Inc.	GA	Pediatrics Physician	$0	$3.4M
Emergent Testing Lab LLC	GA	Clinical Medical Laboratory	$272.6K	$1.9M
United Physician Group LLC	GA	Family Medicine Physician	$0	$1.9M
Children's Sedation Services, LLC	GA	Critical Care Medicine (Anesthesiology) Physician	$0	$1.1M
Sharron Cross	GA	Mental Health Counselor	$0	$1.1M
Children's Anesthesia Services, LLC	GA	Pediatric Anesthesiology Physician	$0	$929.4K
Mds Digital X-ray LLC	GA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$602.4K	$0
Alan Freeman	GA	Neurology Physician	$301.2K	$0

Arthur M. Blank Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Arthur M. Blank Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

Arthur M. Blank Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Arthur M. Blank Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

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