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.

Piedmont Hospital, Inc (NPI 1962461681)

Piedmont Hospital, Inc is a general acute care hospital provider located in Atlanta, Georgia. This profile covers 0 Medicare and 32 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	Piedmont Hospital, Inc
Address	1968 Peachtree Rd Nw
City	Atlanta
State	GA
ZIP	30309
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 21, 2006

Payer Source	Total Paid
Medicaid	$542.7K
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,860	$20	$167.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	49,260	$1	$147.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	20,850	$10	$104.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,550	$40	$62.1K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	3,340	$1	$13.4K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	1,010	$10	$11.2K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	190	$40	$7.3K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	270	$20	$6.5K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	200	$30	$5.3K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	120	$30	$3.6K

Showing 1–10 of 32

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

Piedmont Hospital, Inc — 0 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	17	20	310	$900	$893.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	187	240	170	$120	$779.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	25	70	380	$170	$423K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	13	20	60	$270	$289.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	13	80	740	$60	$280K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	11	30	80	$560	$197.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	25	50	280	$120	$167.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	12	120	590	$20	$118.3K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	15	50	260	$80	$97.2K
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…	135	140	940	$1	$82.1K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Pediatric Physicians LLC	GA	Pediatrics Physician	$0	$4.5M
Piedmont Hospitalist Physicians LLC	GA	Family Medicine Physician	$0	$3.6M
The Medical Center Inc	GA	General Acute Care Hospital	$0	$1.2M
Clifford Tillman	LA	Gastroenterology Physician	$439.4K	$268.7K
Amy Kingman	GA	Cardiovascular Disease Physician	$641.2K	$0
Josue Medina	TX	Phlebology Physician	$624.5K	$0
Brion Lock	GA	Pulmonary Disease Physician	$552.6K	$0
Faizan Shaikh	GA	Internal Medicine Physician	$431K	$0
Mobin Shah	GA	Hospitalist Physician	$380.8K	$0
Srilakshmi Rebala	GA	Nephrology Physician	$377.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Obstetrix Medical Group Of Atlanta, LLC	GA	Maternal & Fetal Medicine Physician	$0	$10M
Dentistry For Children Of Georgia LLC	GA	Pediatric Dentistry	$0	$7.9M
Shanice Figueroa	GA	Nurse Practitioner	$2.8M	$0
Kristin Bourg	GA	Physician Assistant	$1.8M	$0
Janice Mcalister	GA	Nurse Practitioner	$1.6M	$0
Michelle Juneau	GA	Dermatology Physician	$951K	$0
William Wilson	GA	Rheumatology Physician	$865.7K	$0
David D'heurle	GA	Ophthalmology Physician	$672.5K	$0
Georgia West Imaging, PC	GA	Diagnostic Radiology Physician	$0	$616.2K
Peachtree Orthopaedic Surgery Center At Piedmont LLC	GA	Orthopaedic Surgery Physician	$605.7K	$0

Piedmont Hospital, Inc — Billing Profile & Reimbursement Data

Sign up for Piedmont Hospital, Inc — Billing Profile & Reimbursement Data policy alerts

Piedmont Hospital, Inc — Billing Profile & Reimbursement Data

Sign up for Piedmont Hospital, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References