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.

Pediatric Associates Of Savannah, P.C. (NPI 1932252244)

Key Findings

Field	Value
Entity Type	Organization
Organization	Pediatric Associates Of Savannah, P.C.
Address	4600 Waters Ave Ste 100
City	Savannah
State	GA
ZIP	31404
Taxonomy	Pediatrics Physician
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

This provider has no Medicare billing on file and reports $8.8M in lifetime Medicaid revenue, making its public billing footprint effectively single-payer (Medicaid)-driven rather than split between Medicare and Medicaid. The NPI was enumerated on 2007-01-19 (~19 years ago), indicating a long-tenured presence in the market that has accumulated substantial Medicaid activity over time.

Revenue is highly concentrated in a small number of outpatient pediatric care codes: the precomputed top-three Medicaid codes (99213, 99214, 90460) account for 58.6% of this provider's total Medicaid revenue. Those three codes appear as the primary revenue drivers by dollar amount (99213: $2.4M / 27.7%; 99214: $1.7M / 18.9%; 90460: $1M / 12.0%), signaling reliance on routine established-patient visits and vaccine administration for the bulk of Medicaid receipts.

The code mix (heavy use of 99213 and 99214 combined with substantial 99391/99392 and 90460 activity) is consistent with a high-volume pediatric primary care operation focused on established outpatient evaluation-and-management, well-child/preventive visits, and routine immunizations. High counts for preventive codes such as 99391 ($885.6K) and 99392 ($843.9K) further support that well visits and age-based preventive care are a core service line.

Competitive standing for core E/M visits is strong in absolute rank but characterized in the data as typical behavior for pediatric peers: 99213 ranks #33 of 917 in-state (97th percentile, described as "typical, unremarkable volume") and 99214 ranks #45 of 824 (95th percentile, "typical, unremarkable volume"). In plain terms, the practice handles high volumes of routine established visits but these volumes are common among pediatric providers statewide.

By contrast, the practice is a clear statewide outlier on several pediatric preventive and immunization activities: 90460 (vaccine administration) ranks #11 of 246 (96th percentile; "notably above typical"), and 99391 (initial preventive medicine) ranks #9 of 176 (95th percentile; "notably above typical"). These high rankings indicate above-typical throughput for immunizations and some preventive visit types compared with in-state peers.

There are explicit statistical outliers in the billing mix that merit attention: 99429 (preventive medicine service without a specific code) shows 17K claims and $255.3K revenue and ranks #2 of 70 in-state (99th percentile; labeled an "extreme outlier, far above typical state volume"). This unusually large volume of an uncoded preventive service suggests a significant portion of preventive encounters are being reported to Medicaid under a catch-all code rather than specific preventive codes.

The practice also reports substantial point-of-care and diagnostic testing for acute respiratory illness and public-health testing: 87635 (SARS–COV–2 NAAT) shows 6K claims and $315.9K revenue (rank #8 of 97, 93rd percentile, "typical, unremarkable volume"), 87502 (influenza multiplex) shows 3.5K claims and $204.9K revenue (rank #3 of 30, 93rd percentile, "notably above typical"), and 87634 (RSV NAAT) ranks #1 of 7 (100th percentile; "notably above typical") with $38.1K revenue. Together these data indicate integrated in-office respiratory testing capability in addition to preventive services.

Beyond vaccines and E/M, the provider shows elevated statewide rankings for several ancillary service codes that point to integrated behavioral, nutritional, and screening workflows: 97802 (medical nutrition therapy) has 16.9K claims and $84.6K revenue (rank #4 of 61, 95th percentile; "notably above typical"), 96161 (caregiver questionnaire) has 5.4K claims and $21.7K revenue (rank #3 of 95, 98th percentile; "notably above typical"), and 85018 (hemoglobin) has 16.5K claims and $49.5K revenue (rank #6 of 161, 97th percentile; "notably above typical"). These patterns are consistent with a practice model that embeds screening, counseling, and basic lab testing into routine pediatric visits.

Medicaid: Complete Services Breakdown

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

64 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…	35,670	$70	$2.4M
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…	16,030	$100	$1.7M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	20,130	$50	$1M
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…	9,420	$90	$885.6K
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…	8,190	$100	$843.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,340	$100	$340.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	5,960	$50	$315.9K
99429	Use 99429 to report a preventive medicine service that does not have a specific code.	17,020	$20	$255.3K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	3,530	$60	$204.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,140	$110	$124.5K

Showing 1–10 of 64

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

Pediatric Associates Of Savannah, P.C. — 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

64 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…	33	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…	45	820	390	$70	$245K
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…	13	180	680	$90	$226.7K
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…	9	180	720	$90	$204.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	11	250	660	$40	$172.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	34	170	500	$100	$170.6K
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,…	63	360	370	$50	$153.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	44	160	190	$110	$129.7K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	13	50	100	$20	$119.1K
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.	12	80	600	$10	$110.4K

Showing 1–10 of 64

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgia Emergency Physician Specialists	GA	Emergency Medicine Physician	$0	$12.7M
Savannah Children's Heart Center, PC	GA	Pediatric Cardiology Physician	$0	$10.2M
Robin Ray	GA	Ophthalmology Physician	$3.5M	$0
Robert King	GA	Ophthalmology Physician	$3.4M	$0
Mppg, Inc.	GA	Family Medicine Physician	$0	$2.8M
Anchor Medical LLC	GA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Dean Stephens	GA	Rheumatology Physician	$2.7M	$0
Charles Degenhardt	GA	Rheumatology Physician	$2.4M	$0
Atlantic Radiology Associates, LLC	GA	Diagnostic Radiology Physician	$0	$2.3M
Georgia Eye Surgicenter, LLC	GA	Ambulatory Surgical Clinic/Center	$1.9M	$0

Pediatric Associates Of Savannah, P.C. — 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

Nearby Providers

Frequently Asked Questions

References