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 Pines Community Service Board (NPI 1811041676)

Field	Value
Entity Type	Organization
Organization	Georgia Pines Community Service Board
Address	1102 Smith Ave
City	Thomasville
State	GA
ZIP	31792
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$45.3M
Medicare	$0

Key Findings

GEORGIA PINES is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $45.3M. Its NPI was enumerated 2007-01-22 (~19 years ago), indicating long tenure in the Medicaid market rather than recent entry.

Revenue is heavily concentrated in a small set of waiver and residential codes: the top 3 Medicaid codes account for 60.2% of total Medicaid revenue, with T2033 alone representing $19.5M (43.0% of Medicaid revenue). The next two top contributors are T2025 ($5M, 11.0%) and H2017 ($2.8M, 6.2%), showing a reliance on a few high-revenue service lines.

The code mix points to an operational model focused on Medicaid waiver/residential and intensive community-based behavioral health services. High-dollar residential waiver billing (T2033 and T2025) combined with large volume claims for psychosocial rehabilitation (H2017: 52.1K claims) and assertive community treatment (H0039: 32K claims) suggests a full-spectrum community/behavioral health agency delivering both residential and high-frequency community services.

Competitive standing varies by service line: T2033 ($19.5M) ranks #9 of 10 providers in-state (11th percentile), indicating that despite generating the largest share of this provider’s revenue, its residential per-diem volume is low relative to in-state peers. By contrast, H2017 ranks #2 of 21 providers in-state (95th percentile) and H0031 ranks #3 of 76 providers in-state (97th percentile, labeled an “extreme outlier, far above typical state volume”), marking GEORGIA PINES as a major state player for psychosocial rehab and non-physician mental health assessments.

Ambulatory psychotherapy and diagnostic activity are substantial: 90837 appears with 17.2K claims and $1.6M revenue (3.5% of Medicaid revenue) and ranks #11 of 884 providers in-state (99th percentile), while 90834 (6.4K claims, $465.3K) ranks #10 of 294 (97th percentile). These high percentiles for psychotherapy codes, together with 90792 (6.8K claims, $708.7K; 92nd percentile), indicate above-typical outpatient therapeutic and evaluation volume within the state.

Workforce- and intensity-signals appear in nursing and assessment codes: T1001 (nursing assessment/evaluation) has 16.7K claims, $635.2K revenue and ranks #2 of 34 providers in-state (97th percentile, labeled an “extreme outlier, far above typical state volume”), implying heavy use of nursing assessments. Related clinical support codes (T1002, T1003) also show meaningful reimbursement levels, consistent with an operationally intensive, multidisciplinary delivery model.

Some high-dollar, low-volume waiver services suggest per-claim intensity but limited peer footprint: T2017 (habilitation, residential, waiver) has $2.2M revenue (4.8% of Medicaid revenue) with an average paid/claim of $3212 but ranks #9 of 9 providers in-state (0th percentile). That combination—high avg paid/claim but bottom-state ranking—suggests the provider bills expensive residential habilitation when it occurs, but that activity is small relative to other in-state organizations.

Concentration risk and opportunities are both evident: reliance on the top 3 codes for 60.2% of Medicaid revenue creates vulnerability to policy or rate changes affecting waiver/residential and psychosocial rehab services, but the provider’s strong statewide standing on H2017, H0031, T1001, and psychotherapy codes signals competitive strength in community-based behavioral health. The absence of Medicare billing also highlights a growth opportunity (or intentional strategic focus) if expansion into Medicare-covered behavioral health services were considered.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	3,300	$5,890	$19.5M
T2025	Waiver services; not otherwise specified (nos)	6,160	$810	$5M
H2017	Psychosocial rehabilitation services, per 15 minutes	52,130	$50	$2.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	31,990	$90	$2.7M
T2017	Habilitation, residential, waiver; 15 minutes	670	$3,210	$2.2M
H0038	Self‑help/peer services, per 15 minutes	36,220	$60	$2M
H0031	Mental health assessment, by non-physician	16,880	$110	$1.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	17,180	$90	$1.6M
H2015	Comprehensive community support services, per 15 minutes	28,030	$50	$1.4M
T2015	Habilitation, prevocational, waiver; per hour	1,770	$560	$996.6K

Showing 1–10 of 29

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 Pines Community Service Board — 5 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	9	10	32,460	$440	$30.4M
T2017	Habilitation, residential, waiver; 15 minutes	9	10	18,160	$180	$18.4M
T2025	Waiver services; not otherwise specified (nos)	22	30	15,890	$130	$7.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	2	10	24,810	$90	$2M
H0038	Self‑help/peer services, per 15 minutes	3	10	14,500	$60	$1.3M
T1003	Lpn/lvn services, up to 15 minutes	13	20	470	$150	$1.1M
T1016	Case management, each 15 minutes	10	10	4,850	$70	$923.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	2	20	3,800	$70	$896.7K
T2028	Specialized supply, not otherwise specified, waiver	14	20	2,190	$210	$854K
T2015	Habilitation, prevocational, waiver; per hour	3	10	4,890	$70	$673.5K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Georgia Pines Community Service Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shannon Mullen-magbalon	GA	Counseling Psychologist	$0	$1.7M
Thomasville Surgery Center, Inc.	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Brian Szwarc	GA	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$126.6K	$540.7K
Thomas County Commissioners Of Roads & Revenues	GA	Land Ambulance	$606.5K	$0
Maximilian Shokat	GA	Interventional Pain Medicine Physician	$516.1K	$0
Maurice Bernaiche	GA	Interventional Pain Medicine Physician	$358.6K	$6.7K
Michael Magbalon	GA	Ophthalmology Physician	$359K	$0
Michael Gee	GA	Internal Medicine Physician	$331.6K	$0
Albert Richardson	GA	Vascular Surgery Physician	$325.9K	$0
Pathology Associates, P.C.	GA	Anatomic Pathology Physician	$0	$294.4K

Georgia Pines Community Service Board — Billing Profile & Reimbursement Data

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Georgia Pines Community Service Board — 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

Nearby Providers

Frequently Asked Questions

References