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.

Prime Care Medical Services Inc (NPI 1811090905)

Field	Value
Entity Type	Organization
Organization	Prime Care Medical Services Inc
Address	242 South Coastal Hwy 17
City	Midway
State	GA
ZIP	31320
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 6, 2006

Payer Source	Total Paid
Medicaid	$214.3K
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…	2,790	$50	$128.2K
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…	1,480	$60	$82.8K
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…	10	$90	$1K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	990	$1	$990
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	730	$1	$730
3078F	No Summary found for this code	240	$1	$240
3074F	No Summary found for this code	170	$1	$170
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	40	$1	$170
3079F	No Summary found for this code	30	$1	$30
1036F	N/A	330	$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

Prime Care Medical Services Inc — 0 of 9 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…	236	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…	246	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…	295	310	90	$90	$136.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	78	190	280	$1	$16K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	34	40	260	$1	$5.1K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	47	140	340	$1	$4.7K
3079F	No Summary found for this code	31	40	130	$1	$140
3074F	No Summary found for this code	33	90	90	$1	$130
3008F	No Summary found for this code	39	100	230	$1	$110
3078F	No Summary found for this code	33	90	90	$1	$110

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prime Care Medical Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Nizar Eskandar	GA	Nephrology Physician	$899.7K	$0
Scott Rojas	FL	Infectious Disease Physician	$806K	$0
Sunil Kini	IL	Diagnostic Radiology Physician	$563.3K	$9.2K
John Inman	GA	Obstetrics & Gynecology Physician	$560.5K	$0
Firas Bannout	GA	Internal Medicine Physician	$512.7K	$0
Joe Morgan	GA	Vascular Surgery Physician	$439.9K	$0
Sabin Tomus	GA	Internal Medicine Physician	$421.9K	$0
Garrett White	GA	Nephrology Physician	$380K	$0

Nearby Providers

Other providers in the same ZIP code as Prime Care Medical Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Drug Company LLC	GA	Community/Retail Pharmacy	$117.2K	$0

Prime Care Medical Services Inc — Billing Profile & Reimbursement Data

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Prime Care Medical Services 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

Related Providers

Nearby Providers

Frequently Asked Questions

References