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.

C Cox (NPI 1922091586)

Field	Value
Entity Type	Individual
Organization	C Cox
Address	600 1st St Se
City	Moultrie
State	GA
ZIP	31768
Taxonomy	Professional Counselor
NPI Enumerated	August 29, 2005

Payer Source	Total Paid
Medicaid	$195.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,080	$90	$195.1K

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

C Cox — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	166	880	410	$90	$148.7K

Nearby Providers

Other providers in the same ZIP code as C Cox, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheau Williams	GA	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$392.3K	$0
William Huffman	GA	Internal Medicine Physician	$342.5K	$0
Noman Malik	GA	Diagnostic Radiology Physician	$326.1K	$0
James Lamon	GA	Internal Medicine Physician	$177.2K	$0
James Keith	GA	Diagnostic Radiology Physician	$157.1K	$0
Don Roberts	GA	Gastroenterology Physician	$156.5K	$0
Lawrence Ukpong	GA	Cardiovascular Disease Physician	$154.7K	$0
Emerson Harrison	GA	Urology Physician	$119.4K	$0
Christina Lee	GA	Family Nurse Practitioner	$109.7K	$0
Michael Brown	GA	Pulmonary Disease Physician	$102.4K	$0

C Cox — Billing Profile & Reimbursement Data

Sign up for C Cox — Billing Profile & Reimbursement Data policy alerts

C Cox — Billing Profile & Reimbursement Data

Sign up for C Cox — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References