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.

Georgia Surgical Professional Services, LLC (NPI 1801224506)

Georgia Surgical Professional Services, LLC is a otolaryngology physician provider located in Atlanta, Georgia. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Georgia Surgical Professional Services, LLC
Address	4380 Georgetown Sq
City	Atlanta
State	GA
ZIP	30338
Taxonomy	Otolaryngology Physician
NPI Enumerated	October 16, 2013

Payer Source	Total Paid
Medicaid	$706.4K
Medicare	$0

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

14 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…	5,200	$40	$202.9K
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…	2,550	$60	$163.1K
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…	1,710	$60	$106.2K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	5,070	$20	$81.1K
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…	390	$110	$42.6K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	680	$40	$26.4K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	510	$50	$25.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	150	$170	$24.9K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	970	$20	$16.5K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	70	$60	$4.2K

Showing 1–10 of 14

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

Georgia Surgical Professional Services, LLC — 0 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	12	20	260	$560	$608.1K
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…	161	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…	234	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…	26	310	90	$90	$136.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	14	20	110	$200	$105.6K
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…	57	230	100	$110	$97.1K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	5	10	150	$70	$89.3K
92582	The provider measures the type and severity of hearing loss in a young child, generally two to four years of age without any developmental or physical impairment. He analyzes the patient’s response…	2	10	170	$80	$72.6K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	14	30	510	$50	$71.5K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	20	20	40	$140	$50.8K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Mahakian	GA	Psychiatry Physician	$43.1K	$5M
Uhs Of Peachford, L.P.	GA	Psychiatric Hospital	$0	$3.5M
Ameripro Ems LLC	GA	Ambulance	$2.8M	$0
James Yost	GA	Family Medicine Physician	$97K	$1.6M
Emory Ambulatory Surgery Center At Dunwoody, LLC	GA	Ambulatory Surgical Clinic/Center	$768.8K	$0
John Ambrose	GA	Pediatric Dentistry	$0	$732.1K
Northeast Atlanta Vascular Care, LLC	GA	Ambulatory Surgical Clinic/Center	$334.4K	$0
Marianela Matheus	GA	Mental Health Counselor	$0	$292.1K
Daniel Goodman	GA	Internal Medicine Physician	$243.4K	$0
James Kinahan	GA	Internal Medicine Physician	$222.5K	$0

Georgia Surgical Professional Services, LLC — Billing Profile & Reimbursement Data

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Georgia Surgical Professional Services, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanjay Athavale	GA	Otolaryngology Physician	$125.8K	$0
Michael Koriwchak	GA	Otolaryngology Physician	$95.1K	$0
Jenny Kim	GA	Otolaryngology Physician	$91.9K	$0
Jennifer Tirino	GA	Otology & Neurotology Physician	$84.3K	$0
Donald Browning	GA	Otolaryngology Physician	$78.3K	$0
Elizabeth Shaw	GA	Otolaryngology Physician	$64.7K	$0
Mark Yanta	GA	Otolaryngology Physician	$61.2K	$0
Jodi Goldberg	GA	Audiologist	$13.4K	$0