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.

Dekalb Medical Psych Unit (NPI 1821099474)

Field	Value
Entity Type	Organization
Organization	Dekalb Medical Psych Unit
Address	2701 N Decatur Rd
City	Decatur
State	GA
ZIP	30033
Taxonomy	Psychiatric Hospital Unit
NPI Enumerated	August 4, 2005

Payer Source	Total Paid
Medicaid	$34.4M
Medicare	$0

Key Findings

DEKALB MEDICAL PSYCH UNIT shows $34.4M in lifetime Medicaid revenue and has no Medicare billing on file, making its financial footprint effectively Medicaid‑centric. The provider’s NPI was enumerated on 2005-08-04 (~21 years ago), indicating a long-standing presence in the state Medicaid market rather than a recent entrant.

Revenue concentration is high within a narrow set of emergency department E/M codes: the top three Medicaid codes (99284, 99285, 99283) account for 55.9% of the provider’s total Medicaid revenue. Those individual contributions are 99284: $6M (23.6%), 99285: $5M (19.5%), and 99283: $3.3M (12.7%), signaling that ED visits are the primary revenue drivers.

The code mix—dominated by 99284/99285/99283 and supported by G0378 observation hours ($1M, 4.1%) and IV administration codes such as 96374 ($840.3K, 3.3%)—is consistent with an operation that manages high volumes of acute, unscheduled care and short-term stabilization. In plain terms, the provider functions operationally like an emergency/acute care hub (consistent with a Psychiatric Hospital Unit taxonomy that likely handles psychiatric emergencies and medical comorbidities).

Competitive standing for core ED work is strong in-state: 99284 ranks #11 of 231 providers in-state (96th percentile) and is described as notably above typical state volume, while 99283 ranks #15 of 237 (94th percentile). 99285 is more typical in-state at #15 of 139 providers (90th percentile), but together these ranks indicate the provider is a high-volume destination for moderate-to-high complexity ED visits within Georgia.

Several diagnostic service lines show unusually high in-state volumes relative to peers, suggesting substantial internal imaging and monitoring capacity. Examples include 93005 (ECG) at $967.8K and ranked #3 of 31 providers in-state (93th percentile; notably above typical), 76830 (transvaginal ultrasound) at $331.7K and ranked #2 of 51 (98th percentile; extreme outlier), and 76801/76856 pelvic ultrasound entries ranking #2 and #2 (98th and 97th percentiles respectively; notably above typical).

The presence and scale of routine lab and imaging panels—85025 CBC (80.5K claims, $402.4K, 1.6%; rank #8 of 143, 95th percentile) and 80048 BMP (60.4K claims, $301.8K, 1.2%; rank #3 of 46, 96th percentile)—reinforce that the provider delivers high ancillary service volumes alongside ED care. High claim counts for basic labs and ECGs combined with CT head/abdomen codes (70450 $639.1K, 74177 $1.3M) point to an integrated diagnostic workflow supporting ED throughput.

Observation and acuity mix supports short-term stabilization capability: hospital observation G0378 ($1M, 4.1%) and high-acuity ED code 99285 ($5M, 19.5%) are material revenue contributors. This combination suggests capacity to monitor and treat patients beyond initial ED evaluation, consistent with a facility that provides both emergency behavioral health triage and medical stabilization prior to admission or discharge.

Taken together, the long tenure (NPI enumerated 2005-08-04 (~21 years ago)) and the plurality of high-state-percentile ranks imply an established referral profile for emergency and diagnostic services within Georgia Medicaid. The provider appears to be a major in-state participant for several acute and ancillary services rather than a low-volume or newly formed unit.

Medicaid: Complete Services Breakdown

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

315 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	40,270	$150	$6M
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.	29,200	$170	$5M
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.	31,270	$100	$3.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,990	$190	$1.3M
G0378	Hospital observation service, per hour	8,250	$130	$1M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	34,570	$30	$967.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,010	$40	$840.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,000	$70	$639.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	16,790	$40	$604.4K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	5,620	$90	$483.1K

Showing 1–10 of 315

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

Dekalb Medical Psych Unit — 7 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

315 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.	15	140	200	$280	$1.9M
G0378	Hospital observation service, per hour	6	20	2,070	$160	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	38	40	850	$70	$983K
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.	11	230	120	$170	$937.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	14	20	310	$900	$893.2K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	10	30	550	$540	$834.8K
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.	15	240	170	$120	$779.3K
P9016	Red blood cells, leukocytes reduced, each unit	4	10	560	$550	$612K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	68	70	2,950	$60	$531.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	10	20	2,890	$140	$502.6K

Showing 1–10 of 315

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dekalb Medical Psych Unit, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandeep Chandra	GA	Interventional Cardiology Physician	$363.7K	$0
Mark Pollock	GA	Sleep Medicine (Internal Medicine) Physician	$100K	$0

Nearby Providers

Other providers in the same ZIP code as Dekalb Medical Psych Unit, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids & Teens Primary Healthcare	GA	Pediatrics Physician	$0	$5M
Amir Agha	GA	Rheumatology Physician	$1.7M	$6.6K
Aaron Bradley	GA	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Amazing Pediatrics	GA	Pediatrics Physician	$0	$856.2K
The Primary Care Center, PC	GA	Internal Medicine Physician	$0	$659.7K
Jefrey Lieberman	GA	Rheumatology Physician	$611.5K	$0
James Benton	GA	Radiation Oncology Physician	$603.7K	$0
Mark Merlin	GA	Radiation Oncology Physician	$481.4K	$0
Marcus Stonecipher	GA	Dermatology Physician	$478K	$0
Dekalb Pathology PC	GA	Anatomic Pathology & Clinical Pathology Physician	$0	$475.7K

Dekalb Medical Psych Unit — Billing Profile & Reimbursement Data

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Dekalb Medical Psych Unit — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References