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.

Morehouse Healthcare, Inc. (NPI 1801832324)

Morehouse Healthcare, Inc. is a cardiovascular disease physician provider located in Atlanta, Georgia. This profile covers 0 Medicare and 63 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	Morehouse Healthcare, Inc.
Address	1800 Howell Mill Rd Nw Ste 275
City	Atlanta
State	GA
ZIP	30318
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,880	$30	$199.6K
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…	5,230	$30	$146.5K
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…	3,010	$40	$108.2K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	3,300	$30	$99.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	3,770	$20	$90.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,060	$30	$85.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	880	$100	$84.1K
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…	970	$80	$80.3K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	1,550	$40	$55.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	670	$70	$49K

Showing 1–10 of 63

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

Morehouse Healthcare, Inc. — 1 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

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	101	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,…	9	10	360	$1,510	$1.6M
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.	118	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.	121	240	170	$120	$779.3K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	19	20	890	$60	$498.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	14	20	290	$180	$423.2K
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…	223	920	370	$60	$360.6K
76825	The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.	9	10	730	$240	$348.7K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	9	40	220	$70	$299.7K
93321	The provider performs Doppler echocardiography using pulsed wave and/or continuous wave with a spectral display for a follow–up or limited study. The ultrasound involves the continuous generation of…	7	10	120	$40	$245.8K

Showing 1–10 of 63

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oghenerukevwe Odiete	GA	Interventional Cardiology Physician	$1.2M	$0
Northside Radiology Associates LLC	GA	Diagnostic Radiology Physician	$0	$991.9K
Forrest Toca	GA	Cardiovascular Disease Physician	$51.4K	$0
Robert Amajoyi	MO	Colon & Rectal Surgery Physician	$29.5K	$0
Eric Flenaugh	GA	Pulmonary Disease Physician	$15.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Renal Care Inc	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.3M
William Jonas	GA	Hematology & Oncology Physician	$1.8M	$0
Labsolutions LLC	GA	Clinical Medical Laboratory	$0	$1.8M
Jay Rhee	GA	Hematology & Oncology Physician	$871.7K	$0
Terry Walton	GA	Clinical Social Worker	$447.2K	$0
Nikita Amin	GA	Hematology & Oncology Physician	$444.2K	$0
Holton Dialysis Clinic, LLC	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$332.7K
Bruce Bode	GA	Endocrinology, Diabetes & Metabolism Physician	$327.9K	$0
David Robertson	GA	Endocrinology, Diabetes & Metabolism Physician	$294.4K	$0
Jonathan Ownby	GA	Endocrinology, Diabetes & Metabolism Physician	$218.6K	$0

Morehouse Healthcare, Inc. — Billing Profile & Reimbursement Data

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Morehouse Healthcare, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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