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.

Phoebe Putney Memorial Hospital Inc (NPI 1992789721)

Field	Value
Entity Type	Organization
Organization	Phoebe Putney Memorial Hospital Inc
Address	417 West Third Avenue
City	Albany
State	GA
ZIP	31701
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 5, 2005

Payer Source	Total Paid
Medicaid	$84.3M
Medicare	$0

Key Findings

PHOEBE PUTNEY MEMORIAL HOSPITAL is effectively a single‑payer provider in the available dataset: there is no Medicare billing on file while total Medicaid receipts are $84.3M, so all analyzed fee‑for‑service activity in this profile is Medicaid‑driven and there are no national Medicare comparisons to draw. This makes Medicaid the sole source for the revenue patterns and service mix described below.

Revenue concentration is high and focused in a few codes: the precomputed top three Medicaid codes account for 38.8% of the provider's Medicaid revenue, led by 99284 ($8.5M, 17.0%), 99283 ($6.9M, 13.7%), and 74177 ($4M, 8.1%). That degree of concentration indicates a small group of high‑volume emergency and imaging services dominate Medicaid revenue generation for the facility.

The code mix points to an ED‑and‑acute‑care operational profile: very large counts and revenues for emergency E/M codes (99284, 99283, 99285, 99282) together with hospital observation (G0378) and high volumes of CT scans (74177, 74176, 70450) signal that the hospital functions as a high‑throughput emergency and diagnostic imaging center for Medicaid patients. The prominence of CT abdomen/pelvis and head CT suggests imaging drives both clinical workflow and reimbursement.

Infusion and procedural services are also material to the hospital's Medicaid portfolio. High volumes of infusion and injection codes (96361, 96365, 96375, 96374, 96372) combined with notable Medicaid revenue for oncology drugs — J9271 (pembrolizumab) at $3M (6.1%) and J0897 (denosumab) at $1.1M (2.2%) — indicate on‑site infusion capacity and oncology therapeutic services contribute a meaningful share of revenue.

Multiple codes show the provider is a statewide leader on specific services: 99284 ranks #4 of 231 providers in‑state at the 99th percentile and is flagged an extreme outlier (far above typical state volume), while 99283 also ranks #4 of 237 (99th percentile) and is described as notably above typical state volume. These placements characterize PHOEBE PUTNEY as a major state player for moderate‑complexity emergency care.

There are several additional specialty strengths suggested by rank and percentile. The dialysis access angioplasty code 36902 is #1 of 8 providers in‑state (100th percentile) and listed as notably above typical state volume, and cardiac and advanced imaging services (93306, 78452, 78815, 71260) appear elevated (mostly 90th percentile or higher), implying robust interventional radiology and cardiology imaging capacity relative to peers.

Some routine outpatient and diagnostic volumes are also unusually high for the market: 99213 is $1.2M and ranks #21 of 917 providers in‑state (98th percentile; notably above typical state volume), while 96372 (injections) is $898.4K and ranks #2 of 133 (99th percentile; extreme outlier). Together these indicate both high ambulatory throughput and heavy use of simple injection/administration services in the Medicaid population.

Operational longevity is established: the NPI was enumerated on 2005-12-05 (~21 years ago), indicating the hospital has been an established facility in the region for two decades, which is consistent with its role as a high‑volume emergency, imaging, and infusion center in the state Medicaid market.

Medicaid: Complete Services Breakdown

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

607 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The 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.	82,380	$100	$8.5M
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.	72,370	$100	$6.9M
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.	8,770	$460	$4M
J9271	Injection, pembrolizumab, 1 mg	1,020	$2,970	$3M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	7,010	$310	$2.2M
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.	10,950	$200	$2.1M
99285	The 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.	10,670	$170	$1.8M
G0378	Hospital observation service, per hour	16,190	$110	$1.7M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	18,960	$90	$1.6M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	28,290	$50	$1.4M

Showing 1–10 of 607

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

Phoebe Putney Memorial Hospital Inc — 8 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

607 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	1	10	1,020	$2,970	$3M
99285	The 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.	21	140	200	$280	$1.9M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	3	10	360	$1,510	$1.6M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	3	10	1,280	$270	$1.1M
G0378	Hospital observation service, per hour	5	20	2,070	$160	$1.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1	10	7,030	$170	$992.1K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	12	40	850	$70	$983K
99284	The 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.	4	230	120	$170	$937.5K
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…	6	20	310	$900	$893.2K
92611	The provider conducts a study on the inside of the mouth, the voice box, and the food pipe using cine or video recording. He checks whether the patient can swallow properly.	4	10	920	$410	$848.9K

Showing 1–10 of 607

Related Providers

Other providers that share a Tax Identification Number (TIN) with Phoebe Putney Memorial Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoebe Physician Group, Inc	GA	Clinic/Center	$0	$20.1M
Ngozi Okoba	TX	Nephrology Physician	$1.1M	$0
Rachel Kruspe	AL	Hematology & Oncology Physician	$1M	$0
Thucanh Multerer	PA	Retina Specialist (Ophthalmology) Physician	$862.9K	$139.4K
Victoriya Strukova	SC	Rheumatology Physician	$624.4K	$0
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0
Layth Saymeh	GA	Gastroenterology Physician	$263.2K	$0
Deepak Reddy	MI	Emergency Medicine Physician	$75.8K	$169.6K
James Coman	OK	Clinical Cardiac Electrophysiology Physician	$235.7K	$0
Christopher Goltz	MI	Vascular Surgery Physician	$224.3K	$0

Nearby Providers

Other providers in the same ZIP code as Phoebe Putney Memorial Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Compassion, Comfort & Care	GA	In Home Supportive Care Agency	$0	$4.2M
Senior Solutions Home Care LLC	GA	Home Health Agency	$0	$2.5M
Albany Area Primary Health Care, Inc.	GA	Federally Qualified Health Center (FQHC)	$0	$1.5M
Dougherty County Board Of Health	GA	Public Health or Welfare Agency	$7.9K	$1.1M
Kids Come First Pediatrics PC	GA	Pediatrics Physician	$0	$826.8K
Katrina Wilburn-beckhom	GA	Behavior Analyst	$0	$657.9K
Dougherty County Commissioner Of Roads & Revenues	GA	Land Ambulance	$656.4K	$0
Sw Georgia Pathology Associates	GA	Anatomic Pathology & Clinical Pathology Physician	$0	$580.2K
Larry Davis	GA	Dentist	$0	$262.2K
The Renaissance Centre, Inc.	GA	Psychologist	$0	$227.9K

Phoebe Putney Memorial Hospital Inc — Billing Profile & Reimbursement Data

Sign up for Phoebe Putney Memorial Hospital Inc — Billing Profile & Reimbursement Data policy alerts

Phoebe Putney Memorial Hospital Inc — Billing Profile & Reimbursement Data

Sign up for Phoebe Putney Memorial Hospital Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References