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.

Grady Memorial Hospital Corporation (NPI 1992799050)

Field	Value
Entity Type	Organization
Organization	Grady Memorial Hospital Corporation
Address	80 Jesse Hill Jr Dr, Se
City	Atlanta
State	GA
ZIP	30303
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 6, 2005

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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,…	5,260	$100	$505.1K
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…	2,350	$100	$239.8K
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.	1,140	$150	$168.4K
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.	1,240	$120	$150.4K
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.	1,160	$80	$89.4K
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…	560	$100	$56.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	540	$100	$53.7K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	600	$80	$50.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	6,090	$10	$42.6K
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.	80	$350	$28.9K

Showing 1–10 of 91

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

Grady Memorial Hospital Corporation — 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

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	40	140	200	$280	$1.9M
G0378	Hospital observation service, per hour	18	20	2,070	$160	$1.1M
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.	56	230	120	$170	$937.5K
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.	63	240	170	$120	$779.3K
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.	20	30	3,810	$70	$500.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	53	70	2,840	$30	$428.7K
99282	The 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.	44	50	600	$90	$409.7K
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…	252	920	370	$60	$360.6K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	6	10	170	$20	$329.4K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	17	40	220	$70	$299.7K

Showing 1–10 of 91

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emory Medical Care Foundation Inc	GA	Internal Medicine Physician	$0	$41.4M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Frank Curvin	GA	Family Medicine Physician	$10.6M	$0
Grady Ems LLC	GA	Land Ambulance	$6M	$66.8K
Grady Memorial Hospital Corporation	GA	Family Medicine Physician	$0	$5.9M
Children's Healthcare Of Atlanta At Hughes Spalding	GA	Children's Hospital	$0	$5.2M
Mark Chastain	GA	Dermatology Physician	$1.6M	$0
Ephraim Parent	FL	Nuclear Medicine Physician	$1.5M	$0
Sagar Patel	GA	Radiation Oncology Physician	$955.9K	$0
Vishal Dhere	CO	Radiation Oncology Physician	$771.7K	$0

Nearby Providers

Other providers in the same ZIP code as Grady Memorial Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ace Care Management LLC	GA	Case Management Agency	$0	$16.5M
Walker Family Services LLC	GA	Community/Behavioral Health Agency	$0	$1.2M
Emerginet, LLC	GA	Emergency Medical Services (Emergency Medicine) Physician	$0	$790.7K
Ronak Shah	GA	Diagnostic Radiology Physician	$710.2K	$0
Emerginet Henry, LLC	GA	Emergency Medical Services (Emergency Medicine) Physician	$0	$413.4K
Time Organization, Inc.	GA	Psychiatry Physician	$0	$283.8K
April Farley	GA	Diagnostic Radiology Physician	$243.5K	$550
Sam Sheikali	GA	Emergency Medicine Physician	$52.1K	$144.9K
Frank Mihlon	GA	Diagnostic Radiology Physician	$175.9K	$0
Emerginet Srmc, LLC	GA	Emergency Medical Services (Emergency Medicine) Physician	$0	$168K

Grady Memorial Hospital Corporation — Billing Profile & Reimbursement Data

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Grady Memorial Hospital Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References