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.

Macon Medical Group PC (NPI 1912914847)

Macon Medical Group PC is a nephrology physician provider located in Macon, Georgia. This profile covers 0 Medicare and 18 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	Macon Medical Group PC
Address	640 Martin Luther King Jr Blvd
City	Macon
State	GA
ZIP	31201
Taxonomy	Nephrology Physician
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$230.9K
Medicare	$0

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

18 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…	4,040	$30	$117.1K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	1,340	$30	$45.5K
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…	960	$40	$36.3K
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…	1,100	$20	$24.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$70	$4.6K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	30	$50	$1.4K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	110	$10	$640
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	110	$10	$570
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	70	$10	$340
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…	90	$1	$180

Showing 1–10 of 18

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

Macon Medical Group PC — 0 of 11 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	133	820	390	$70	$245K
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…	45	160	230	$30	$141.4K
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…	67	190	310	$30	$92K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	107	140	940	$1	$82.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	110	80	$70	$81.1K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	14	30	950	$20	$56.4K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	45	50	530	$1	$22.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	173	190	280	$1	$16K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	17	20	450	$10	$14.2K
84550	The lab analyst performs a test to measure the amount of uric acid in patient blood.	20	20	860	$1	$10.7K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Services Of Central Georgia, Inc	GA	Multi-Specialty Clinic/Center	$0	$18.5M
Central Georgia Emergency Group, LLC	GA	Emergency Medicine Physician	$0	$8.8M
Middle Georgia Pediatrics	GA	Pediatric Adolescent Medicine Physician	$0	$4.2M
Linda Hendricks	GA	Specialist	$3.1M	$0
Mgas Holdings, LLC	GA	Ambulance	$2.5M	$36.9K
Marcus Weldon	GA	Hematology & Oncology Physician	$2.5M	$0
Cogent Healthcare Of Macon, LLC	GA	Internal Medicine Physician	$0	$1.8M
Central Georgia Pediatrics, Inc.	GA	Pediatric Adolescent Medicine Physician	$0	$1.6M
Alan Justice	GA	Internal Medicine Physician	$1.4M	$0
Central Georgia Pet LLC	GA	Radiation Oncology Physician	$1.4M	$0

Macon Medical Group PC — Billing Profile & Reimbursement Data

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Macon Medical Group PC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swathi Singanamala	GA	Nephrology Physician	$370K	$0
Reuben Ellis	GA	Nephrology Physician	$345.5K	$0
Ahmad Kabbani	GA	Nephrology Physician	$301.6K	$0
Heather Self	GA	Nurse Practitioner	$166.6K	$0
Christopher Chang	GA	Nurse Practitioner	$137.3K	$0
Adam Rhoades	GA	Medical Physician Assistant	$137.3K	$0