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    OpenPayerNPI Medicare & MedicaidAu Medical Associates Emergency Medicine Billing S…
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    Au Medical Associates Emergency Medicine Billing Services, LLC — Billing Profile & Reimbursement Data

    NPI 1982089777 · Augusta, GA · Emergency Medicine Physician

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    Au Medical Associates Emergency Medicine Billing Services, LLC is a emergency medicine physician provider located in Augusta, Georgia. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAu Medical Associates Emergency Medicine Billing Services, LLC
    Address1120 15th St
    CityAugusta
    StateGA
    ZIP30912
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJuly 22, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.9M
    Medicare$0

    Key Findings

    This entity has no Medicare billing on file and reports $8.9M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) billing operation in the available data. The lack of Medicare activity means analyses of its competitive position should be framed against in-state Medicaid peers rather than a national Medicare benchmark.

    The provider’s revenue is highly concentrated: the top three Medicaid codes (99285, 99284, 99283) account for 98.9% of its total Medicaid revenue. Those three codes are all emergency department E/M codes, indicating the practice’s revenue base is dominated by urgent and emergent care encounters rather than office or procedural services.

    Code-level volumes show an emergency-department operating model with scale: 99285 has 33.1K claims and $3.4M revenue (33.1K claims, $104 avg paid/claim, $3.4M revenue — 38.7% of total), 99284 has 31.4K claims and $2.7M revenue ($86 avg paid/claim — 30.3% of total), and 99283 has 52.4K claims and $2.7M revenue ($51 avg paid/claim — 30.0% of total). The mix of high-acuity (99285) and large-volume lower-acuity (99283) visits suggests the group manages a broad acuity range typical of emergency medicine billing.

    Competitive standing in-state is strong on key ED codes: 99285 ranks #10 of 139 providers in-state (93th percentile) and is described as notably above typical state volume, while 99283 ranks #7 of 237 (97th percentile) and is also notably above typical state volume. By contrast, 99284 ranks #17 of 231 (93th percentile) but is labelled a typical, unremarkable volume for this code, indicating the provider is a major in some ED acuity tiers and a standard participant in others.

    Medicaid reimbursement levels on the top codes are low on a per-claim basis, with $104 avg paid/claim for 99285, $86 for 99284, and $51 for 99283; this pattern implies the provider’s $8.9M revenue is driven predominantly by very high encounter volumes rather than high per-encounter reimbursement. High claim counts (e.g., 52.4K claims for 99283) reinforce that volume, not price, is the primary revenue lever.

    Other billed codes contribute essentially no revenue individually: 99282 ($58.8K, 1.8K claims), 93010 ($34.3K, 6.9K claims), 99213 ($1.2K, 96 claims), 99238 ($945, 45 claims), and two codes with $0 recorded revenue (G8427 and 99053). These ancillary codes account for a negligible share of Medicaid revenue (each listed at or near 0.0%), underscoring the provider’s operational focus on core ED E/M services.

    The provider’s NPI was enumerated on 2015-07-22 (~11 years ago), indicating an established presence in the market long enough to build the significant Medicaid encounter volumes observed. Given the combination of established tenure and heavy Medicaid concentration in ED E/M codes, monitoring in-state policy or payer changes affecting Medicaid ED reimbursement will be important for assessing future revenue stability.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.33,140$100$3.4M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.31,420$90$2.7M
    99283The 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.52,370$50$2.7M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.1,840$30$58.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.6,860$10$34.3K
    99213The 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…100$10$1.2K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…50$20$950
    99053The provider renders overnight services at a 24 hour facility.50$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications10$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.

    Full comparison — all codes billed, vs. Georgia median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.10140200$280$1.9M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.17230120$170$937.5K
    99283The 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.7240170$120$779.3K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.1950600$90$409.7K
    99213The 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…625920370$60$360.6K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…619090$60$41.4K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.14100250$10$31.7K
    99053The provider renders overnight services at a 24 hour facility.295070$1$70
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications9090370$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Au Medical Associates Emergency Medicine Billing Services, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Scott GraupnerSCHematology & Oncology Physician$2.7M$0
    Dennis MarcusGAOphthalmology Physician$1.8M$0
    Au Medical Associates IncGAMulti-Specialty Clinic/Center$0$1.2M
    Mario MaruthurALDermatology Physician$1.1M$0
    Kunyong XuAZRetina Specialist (Ophthalmology) Physician$996.6K$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Stephen RameySCRadiation Oncology Physician$608K$0
    Anu BatraAZHematology & Oncology Physician$579.2K$0
    Jed HowingtonGARadiation Oncology Physician$565.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Au Medical Associates Emergency Medicine Billing Services, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Au Medical Center, IncGAGeneral Acute Care Hospital$0$26.6M
    Shah NumaniGANuclear Medicine Physician$1.1M$0
    June MurakaruGAPediatric Dentistry$0$1.1M
    Jennifer StevensGADentist$0$755.8K
    Jean-paul WuilleumierGAGeneral Practice Physician$725.8K$0
    Davis MellickGAMedical Physician Assistant$0$539.3K
    Daniel SheehanGADermatology Physician$401.8K$7.9K
    Kathryn PotterGAMOHS-Micrographic Surgery Physician$383.9K$0
    Twinkle SinghGAInternal Medicine Physician$207.3K$52.1K
    James RaleyGASurgery Physician$238K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Georgia Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Au Medical Associates Emergency Medicine Billing Services, LLC — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia