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.

Atlanta Heart Specialists LLC (NPI 1891881827)

Atlanta Heart Specialists LLC is a cardiovascular disease physician provider located in Tucker, Georgia. This profile covers 0 Medicare and 41 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	Atlanta Heart Specialists LLC
Address	1468 Montreal Rd
City	Tucker
State	GA
ZIP	30084
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	32,770	$20	$688.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	9,760	$60	$585.6K
93000	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…	22,840	$10	$182.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	3,810	$30	$110.4K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	4,570	$20	$109.6K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	3,190	$30	$105.4K
J2785	Injection, regadenoson, 0.1 mg	2,200	$40	$86K
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…	1,810	$40	$74.4K
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…	6,160	$10	$67.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,470	$30	$41.1K

Showing 1–10 of 41

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

Atlanta Heart Specialists LLC — 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

41 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…	144	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…	22	820	390	$70	$245K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5	60	670	$80	$194.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	61	100	460	$10	$159.9K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	1	20	250	$180	$154.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	112	160	230	$30	$141.4K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	55	80	600	$10	$110.4K
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…	17	230	100	$110	$97.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	66	190	310	$30	$92K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	24	160	180	$80	$68K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandeep Chandra	GA	Interventional Cardiology Physician	$363.7K	$0
Zoubin Alikhani	GA	Clinical Cardiac Electrophysiology Physician	$354.8K	$0
David Song	GA	Interventional Cardiology Physician	$339K	$0
David Suh	GA	Cardiovascular Disease Physician	$318.4K	$0
Binu Kunjummen	GA	Interventional Cardiology Physician	$198.8K	$0
Karthik Ramaswamy	OH	Clinical Cardiac Electrophysiology Physician	$156.9K	$0
Bakhtiar Ali	GA	Interventional Cardiology Physician	$151.4K	$0
Michael Morris	GA	Cardiovascular Disease Physician	$96.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Clinical Laboratories Inc	GA	Clinical Medical Laboratory	$53.3M	$211.1M
Vision Medical Consulting, P.C.	GA	Family Medicine Physician	$0	$4.6M
Quest Diagnostics Clinical Laboratories Inc	GA	Clinical Medical Laboratory	$0	$3.7M
Jairus Robinson	GA	Clinical Social Worker	$0	$691.9K
Terence Frinks	GA	Family Medicine Physician	$152.3K	$0
Tammera Lee	GA	Professional Counselor	$0	$147K
Ohad Kott	GA	General Practice Physician	$107K	$18K
Rajesh Chatkara	GA	Geriatric Physical Therapist	$107K	$0
Richard Nyberg	GA	Orthopedic Physical Therapist	$103.6K	$0
Kaiser Foundation Health Plan Of Georgia Inc.	GA	Clinical Medical Laboratory	$97.6K	$0

Atlanta Heart Specialists LLC — Billing Profile & Reimbursement Data

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Atlanta Heart Specialists LLC — 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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