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.

Curtis V. Cooper Primary Health Care Inc. (NPI 1841683067)

Key Findings

Field	Value
Entity Type	Organization
Organization	Curtis V. Cooper Primary Health Care Inc.
Address	5354 Reynolds St Ste 420
City	Savannah
State	GA
ZIP	31405
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 12, 2015

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

This practice reports no Medicare billing on file and $16.3M in lifetime Medicaid revenue, making its financial footprint effectively single-payer (Medicaid)-driven rather than dual-payer. Analysts should treat Medicaid reimbursement trends as the primary determinant of this provider’s revenue performance.

Revenue is highly concentrated: the top three Medicaid codes (99213, 99212, 99214) together account for 70.6% of the provider’s total Medicaid revenue. In isolation those codes generate $7.6M (99213), $2.3M (99212) and $1.4M (99214), which signals dependency on a small set of evaluation-and-management visit codes for the majority of cash flow.

The coding mix is consistent with a Federally Qualified Health Center delivering high-volume primary care: 99213 alone accounts for 63.1K claims and $7.6M revenue (47.7% of Medicaid revenue), while 99212 and 99214 together add substantial established-patient visit volume. This pattern suggests throughput-focused operations with many low-to-moderate complexity outpatient encounters rather than a specialty or procedure-driven practice.

On statewide competitive standing, the provider is a major volume player for routine E/M visits: 99213 ranks #15 of 917 providers in-state (98th percentile) and 99212 ranks #10 of 356 (97th percentile), both labelled as notably above typical state volume. By contrast 99214 ranks #60 of 824 (93th percentile) and is described as typical for the state, indicating dominance in lower-intensity visits while being less exceptional for moderate-complexity E/M.

Preventive and pediatric services are a meaningful secondary line of business. Preventive visit codes (99392, 99393, 99391, 99394, 99395) appear across the top codes with individual revenues in the low hundreds of thousands (for example 99392 $565K and 99393 $522.5K), and vaccination administration is high-volume (90460 10.9K claims, $217.7K; 90471 5K claims, $34.8K), consistent with a broad primary-care and pediatric preventive mix typical of FQHCs.

Behavioral health and ancillary services are present but not dominant: psychotherapy 90832 produced 4.2K claims and $419.9K in revenue (2.6% of Medicaid revenue) and ranks #11 of 138 in-state (93th percentile), indicating an integrated behavioral-health capability that contributes meaningfully to revenue without being a top-line driver. Additional ancillary activities such as COVID testing (87811, 2.1K claims, $47.2K) and contraceptive injection J1050 (2.2K claims, $99.7K) further diversify services.

The provider’s FQHC taxonomy and the NPI enumeration date of 2015-03-12 (~11 years ago) indicate an established community presence and sustained Medicaid participation. That tenure supports comparability to other long-standing safety-net clinics, which may explain the high-volume, access-oriented visit mix.

Operationally, the combination of extreme revenue concentration in a few E/M codes (70.6% from the top three) and near-absence of Medicare revenue creates strategic sensitivity to Medicaid policy or rate changes affecting office visits. Payer strategy or shifts in Medicaid E/M reimbursement would disproportionately affect this provider’s top-line performance given the demonstrated reliance on 99213, 99212, and 99214.

Medicaid: Complete Services Breakdown

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

217 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…	63,140	$120	$7.6M
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,…	19,930	$110	$2.3M
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…	12,380	$110	$1.4M
99392	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…	4,830	$120	$565K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,430	$120	$522.5K
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…	5,590	$90	$520.1K
D0999	N/A	4,110	$120	$501.9K
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…	4,010	$110	$437.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,160	$100	$419.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,480	$120	$403.4K

Showing 1–10 of 217

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

Curtis V. Cooper Primary Health Care Inc. — 3 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

217 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	3	10	2,280	$80	$470.3K
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…	17	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…	15	920	370	$60	$360.6K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	4	10	300	$10	$326.1K
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.	22	40	220	$70	$299.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	8	40	1,100	$20	$287.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	8	40	1,160	$20	$275.9K
D2392	Post 2 surface resin‑based composite	64	80	270	$90	$262.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	45	50	260	$110	$248.9K
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…	60	820	390	$70	$245K

Showing 1–10 of 217

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Ambulance Service Inc.	GA	Land Ambulance	$2.8M	$43.1K
Sleep Management, L.L.C.	GA	Oxygen Equipment & Supplies (DME)	$0	$1.9M
Charles Harris	GA	Ophthalmology Physician	$1.2M	$0
Chatham Orthopaedic Asc, LLC	GA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Tattnall Hospital Company, LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Recovery Place Community Services, Inc.	GA	Community/Behavioral Health Agency	$0	$992K
Roberto Cossio	GA	Pediatrics Physician	$0	$874.8K
Candler Ent Practice, LLC	GA	Otolaryngology Physician	$0	$776.9K
Lewis Collins	GA	Dermatology Physician	$748.9K	$0
John Mikell	GA	Radiation Oncology Physician	$676.4K	$0

Curtis V. Cooper Primary Health Care Inc. — Billing Profile & Reimbursement Data

Sign up for Curtis V. Cooper Primary Health Care Inc. — Billing Profile & Reimbursement Data policy alerts

Curtis V. Cooper Primary Health Care Inc. — Billing Profile & Reimbursement Data

Sign up for Curtis V. Cooper Primary Health Care Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References