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.

Augusta Developmental Specialists, LLC (NPI 1932487691)

Augusta Developmental Specialists, LLC is a developmental - behavioral pediatrics physician provider located in Augusta, Georgia. This profile covers 0 Medicare and 10 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	Augusta Developmental Specialists, LLC
Address	1303 D'antignac Street
City	Augusta
State	GA
ZIP	30901
Taxonomy	Developmental - Behavioral Pediatrics Physician
NPI Enumerated	July 29, 2011

Payer Source	Total Paid
Medicaid	$573.1K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,800	$130	$235.1K
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…	1,740	$100	$165.2K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	1,360	$100	$128.8K
96111	N/A	380	$100	$39.2K
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.	150	$20	$2.7K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	10	$70	$940
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	40	$10	$560
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	80	$1	$320
90672	This code represents a quadrivalent live influenza vaccine product administered as a nasal spray to protect against the flu virus. The vaccine contains four different strains of influenza.	50	$10	$230
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	10	$0	$0

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

Augusta Developmental Specialists, LLC — 1 of 9 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

10 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…	232	820	390	$70	$245K
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.	175	250	660	$40	$172.7K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	57	60	180	$50	$76.4K
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…	21	160	180	$80	$68K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	2	10	120	$90	$59.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	204	250	330	$10	$29.9K
96111	N/A	1	10	230	$90	$22K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	166	250	200	$1	$1.2K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	46	50	210	$1	$340
90672	This code represents a quadrivalent live influenza vaccine product administered as a nasal spray to protect against the flu virus. The vaccine contains four different strains of influenza.	19	40	50	$1	$220

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Health Services,inc	GA	General Acute Care Hospital	$0	$2.3M
Stephen W. Brown And Radiology Associates Of Augusta LLP	GA	Diagnostic Radiology Physician	$0	$1.6M
Alice David	GA	Hematology & Oncology Physician	$1.4M	$0
Brent Limbaugh	GA	Hematology & Oncology Physician	$1.1M	$0
Felisha Lee	GA	Mental Health Counselor	$0	$978.1K
Nephrology Associates, PC	GA	Nephrology Physician	$0	$626.7K
Janet Davis	GA	Maternal & Fetal Medicine Physician	$0	$611.4K
William Tannehill	GA	Vascular & Interventional Radiology Physician	$609.6K	$0
Orthopaedic Associates Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$609.6K	$0
Kids Prompt Care, LLC	GA	Urgent Care Clinic/Center	$0	$548.4K

Augusta Developmental Specialists, LLC — Billing Profile & Reimbursement Data

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Augusta Developmental 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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