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.

Advantage Behavioral Health Systems (NPI 1942270558)

Advantage Behavioral Health Systems is a mental health clinic/center (including community mental health center) provider located in Athens, 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	Advantage Behavioral Health Systems
Address	250 North Ave
City	Athens
State	GA
ZIP	30601
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 25, 2006

Payer Source	Total Paid
Medicaid	$287K
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
H0031	Mental health assessment, by non-physician	510	$120	$60.5K
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…	670	$90	$58.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,520	$40	$54.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	750	$70	$49.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	210	$110	$23.1K
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,…	490	$40	$19.5K
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…	170	$90	$16.1K
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…	20	$130	$2.7K
T1001	Nursing assessment / evaluation	30	$50	$1.4K
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…	30	$40	$910

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

Advantage Behavioral Health Systems — 0 of 10 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
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…	784	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…	496	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	23	80	80	$110	$233.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	28	60	180	$110	$155.6K
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,…	166	360	370	$50	$153.6K
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…	361	880	410	$90	$148.7K
T1001	Nursing assessment / evaluation	33	30	490	$50	$118.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	76	290	240	$70	$69.3K
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…	147	160	180	$80	$68K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	21	140	130	$40	$59.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shahzad Hashmi	GA	Psychiatry Physician	$270.7K	$0
John Strunk	AL	Psychiatry Physician	$216.7K	$0
Jose Cangiano	GA	Psychiatry Physician	$18.3K	$0
Yogesh Goswami	GA	Psychiatry Physician	$8.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clarke County Endoscopy Center LLC	GA	Endoscopy Clinic/Center	$429.8K	$0
Gregory Smith	GA	Gastroenterology Physician	$126.8K	$0
Erik Person	GA	Gastroenterology Physician	$125.1K	$0
Minesh Mehta	GA	Gastroenterology Physician	$115.7K	$0
Lance Mcleroy	GA	Gastroenterology Physician	$99.3K	$0
Blake Kimbrell	GA	Otolaryngology Physician	$89.9K	$0
Charles Ogburn	GA	Orthopaedic Surgery Physician	$82.5K	$0
Vikas Sangwan	GA	Gastroenterology Physician	$28.7K	$0
Thomas Weiner	GA	Family Medicine Physician	$27.9K	$0
Harlee Daniel	GA	Audiologist	$22.1K	$0

Advantage Behavioral Health Systems — Billing Profile & Reimbursement Data

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Advantage Behavioral Health Systems — 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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