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.

Northeast Georgia Physicians Group Urgent Care LLC (NPI 1790875037)

Field	Value
Entity Type	Organization
Organization	Northeast Georgia Physicians Group Urgent Care LLC
Address	743 Spring St Ne
City	Gainesville
State	GA
ZIP	30501
Taxonomy	Family Medicine Physician
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	6,400	$140	$888.9K
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…	3,330	$140	$459.3K
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…	1,070	$140	$148.9K
99204	The provider sees a new 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 provider…	460	$140	$65.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$130	$6K
S9083	Global fee urgent care centers	330	$10	$4.3K
3074F	No Summary found for this code	1,200	$0	$0
3075F	No Summary found for this code	280	$0	$0
3077F	No Summary found for this code	90	$0	$0
3078F	No Summary found for this code	920	$0	$0

Showing 1–10 of 13

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

Northeast Georgia Physicians Group Urgent Care LLC — 0 of 6 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

13 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…	143	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…	160	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…	49	310	90	$90	$136.3K
99204	The provider sees a new 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 provider…	50	230	100	$110	$97.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	125	160	180	$80	$68K
S9083	Global fee urgent care centers	10	20	320	$80	$58.9K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	48	80	290	$1	$3.3K
3079F	No Summary found for this code	10	40	130	$1	$140
3074F	No Summary found for this code	13	90	90	$1	$130
3078F	No Summary found for this code	18	90	90	$1	$110

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northeast Georgia Physicians Group Urgent Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronald Perry	GA	General Practice Physician	$179.1K	$0
Lesley Algert	GA	Family Medicine Physician	$73.8K	$0
Kelly Mackey	GA	Family Medicine Physician	$65.9K	$0
Robert Kelly	GA	Family Medicine Physician	$63.7K	$0
Brandon Bruce	GA	Orthopaedic Trauma Physician	$58.8K	$0
Carlos Lucero	GA	Family Medicine Physician	$54.3K	$90
Angela Anderson	GA	Family Nurse Practitioner	$54.4K	$0
Morris Pulliam	GA	Family Medicine Physician	$50K	$0
Diego Perez	GA	Family Nurse Practitioner	$49.8K	$0

Nearby Providers

Other providers in the same ZIP code as Northeast Georgia Physicians Group Urgent Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Georgia Medical Center, Inc.	GA	General Acute Care Hospital	$0	$112.9M
Georgia Emergency Department Services, P.C.	GA	Emergency Medicine Physician	$0	$17.9M
S.y.a.h.	GA	Urgent Care Clinic/Center	$0	$6.5M
Pediatric Associates LLP	GA	Pediatrics Physician	$0	$5M
William Chafin	GA	Rheumatology Physician	$3.3M	$0
Marta Bognar	GA	Rheumatology Physician	$2.3M	$0
Brent Flickinger	GA	Rheumatology Physician	$2.3M	$0
Gainesville Radiology Group, PC	GA	Diagnostic Radiology Physician	$0	$2M
Hall County Georgia	GA	Land Ambulance	$1.6M	$0
Timothy Carey	GA	Medical Oncology Physician	$1.5M	$0

Northeast Georgia Physicians Group Urgent Care LLC — Billing Profile & Reimbursement Data

Sign up for Northeast Georgia Physicians Group Urgent Care LLC — Billing Profile & Reimbursement Data policy alerts

Northeast Georgia Physicians Group Urgent 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

Related Providers

Nearby Providers

Frequently Asked Questions

References