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.

Albany Area Primary Health Care, Inc. (NPI 1811471725)

Albany Area Primary Health Care, Inc. is a federally qualified health center (fqhc) provider located in Albany, Georgia. This profile covers 0 Medicare and 15 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	Albany Area Primary Health Care, Inc.
Address	810 13th Ave Ste 107
City	Albany
State	GA
ZIP	31701
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 18, 2018

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

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

15 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…	9,360	$110	$1M
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…	1,800	$100	$170.9K
J1050	Injection, medroxyprogesterone acetate, 1 mg	3,590	$40	$150.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	910	$110	$103.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2,820	$10	$25.4K
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…	40	$70	$2.7K
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…	10	$130	$1.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	10	$120	$1.5K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	430	$0	$0
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	9,400	$0	$0

Showing 1–10 of 15

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

Albany Area Primary Health Care, Inc. — 0 of 8 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

15 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…	114	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…	224	820	390	$70	$245K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	122	360	370	$50	$153.6K
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…	211	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…	215	230	100	$110	$97.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	32	130	480	$20	$59.9K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	65	80	360	$10	$56.1K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2	20	120	$50	$40.6K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	17	50	200	$60	$31.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	39	50	70	$90	$19.8K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osemelu Aburime	GA	Ophthalmology Physician	$260.8K	$0
Amanda Coleman	GA	Physician Assistant	$41.3K	$0
Brian Kurtz	AL	Optometrist	$23.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoebe Putney Memorial Hospital Inc	GA	General Acute Care Hospital	$0	$84.3M
Phoebe Physician Group, Inc	GA	Clinic/Center	$0	$20.1M
Compassion, Comfort & Care	GA	In Home Supportive Care Agency	$0	$4.2M
Senior Solutions Home Care LLC	GA	Home Health Agency	$0	$2.5M
Dougherty County Board Of Health	GA	Public Health or Welfare Agency	$7.9K	$1.1M
Kids Come First Pediatrics PC	GA	Pediatrics Physician	$0	$826.8K
Katrina Wilburn-beckhom	GA	Behavior Analyst	$0	$657.9K
Dougherty County Commissioner Of Roads & Revenues	GA	Land Ambulance	$656.4K	$0
Sw Georgia Pathology Associates	GA	Anatomic Pathology & Clinical Pathology Physician	$0	$580.2K
Larry Davis	GA	Dentist	$0	$262.2K

Albany Area Primary Health Care, Inc. — Billing Profile & Reimbursement Data

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Albany Area Primary Health Care, 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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