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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

University Of South Alabama (NPI 1023055191)

Key Findings

Field	Value
Entity Type	Organization
Organization	University Of South Alabama
Address	1700 Center St
City	Mobile
State	AL
ZIP	36604
Taxonomy	Children's Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$24.8M
Medicare	$0

This entity is effectively single‑payer in scope: Medicare billing is none (no Medicare billing on file) while Medicaid represents the entirety of reported public-payer revenue at $24.8M. The absence of Medicare activity indicates this profile and competitive analysis should focus on Medicaid performance and state-level peers rather than national Medicare benchmarks.

Revenue concentration is high: the precomputed top three Medicaid codes account for 60.3% of the provider’s total Medicaid revenue, highlighting dependence on a small set of high-volume services. Those top drivers include G0463 ($5.6M, 23.8%), 99283 ($5.1M, 21.8%), and 99284 ($3.4M, 14.6%), together forming the bulk of Medicaid receipts.

The code mix points to a heavy emergency and acute-care orientation: large revenues for 99283 and 99284 and the high-ranking G0463 (hospital outpatient clinic visit) indicate substantial ED and outpatient assessment throughput. This pattern is reinforced by procedure-level volumes such as 94640 (oxygen administration) and 99282/99285, suggesting frequent respiratory and acute evaluation cases in the patient population.

Testing and infectious-disease workflows are also a significant revenue stream: high-volume lab codes 87635 ($2.2M, 9.3%) and 87502 ($2.0M, 8.5%) rank in the top Medicaid contributors and are described as extreme outliers in the state, reflecting above-typical SARS–CoV–2 and multiplex influenza testing volumes. These lab codes, combined with routine panels like 85025 and 80053, point to integrated high-throughput diagnostic services supporting acute care.

Competitive standing by code shows mixed dominance: 99283 is a statewide outlier, ranking #3 of 230 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), and 94640 ranks #1 of 145 providers (100th percentile; extreme outlier, far above typical state volume for this code), indicating leadership in those acute-service categories. By contrast, codes like 99285 (rank #105 of 193, 46th percentile) and several imaging codes sit at more typical volumes, suggesting the provider is dominant in specific emergency and respiratory care segments but not uniformly across all specialties.

Pediatric surgical and procedure activity is present and material for a children’s hospital profile: 42820 (tonsil/adenoid removal for <12) and 69436 (tympanostomy with tube) appear among top codes with meaningful revenues ($234.6K and $286.3K respectively) and above-typical state rankings, consistent with a pediatric procedural service line alongside ED and diagnostic volumes. These procedures support the characterization of a pediatric-focused acute care center rather than a pure ambulatory clinic.

Service-line nuance: obstetric/fetal imaging and cardiology diagnostics also contribute, with 76819 (biophysical profile), 76811/76816 (fetal ultrasound codes), and echocardiography codes 93306/93325 appearing in the top list. While none of these single codes dominate revenue, their presence indicates breadth in perinatal and cardiac diagnostic capabilities that complement the core emergency and lab-heavy operations.

Tenure and operational history: the provider’s NPI was enumerated on 2006-05-31 (~20 years ago), indicating longstanding enrollment in federal payer systems. That length of tenure, combined with the concentrated Medicaid revenue base and prominent state-level rankings on multiple codes, suggests established regional presence and operational scale within Alabama’s Medicaid market.

Medicaid: Complete Services Breakdown

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

169 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	114,410	$50	$5.6M
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.	116,760	$40	$5.1M
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.	40,960	$80	$3.4M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	44,710	$50	$2.2M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	32,380	$60	$2M
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	16,710	$60	$919.2K
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.	17,810	$40	$730.2K
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.	1,020	$350	$360.8K
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…	37,360	$10	$336.3K
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.	6,500	$50	$292.3K

Showing 1–10 of 169

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

University Of South Alabama — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

169 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	10	10	470	$170	$973.4K
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…	21	70	380	$60	$893.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	40	1,020	$40	$865.2K
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.	15	240	4,820	$60	$807.6K
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.	105	190	1,480	$100	$730.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	41	40	460	$20	$584.1K
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.	3	230	5,160	$40	$474.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	28	40	1,540	$10	$397.4K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	14	20	1,500	$20	$389.4K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	9	10	280	$50	$303.9K

Showing 1–10 of 169

University Of South Alabama — Billing Profile & Reimbursement Data

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University Of South Alabama — Billing Profile & Reimbursement Data

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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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$87.5M
Usa Health Physician Billing Services LLC	AL	Neonatal-Perinatal Medicine Physician	$0	$28.2M
Usa Health Physician Billing Services LLC	AL	Emergency Medicine Physician	$0	$12.7M
University Of South Alabama	AL	Neonatal-Perinatal Medicine Physician	$0	$11.6M
Usa Health Physician Billing Services LLC	AL	Pediatrics Physician	$0	$11M
Usa Health Physician Billing Services LLC	AL	Obstetrics & Gynecology Physician	$0	$6.3M
University Of South Alabama	AL	Clinical Medical Laboratory	$0	$4.6M
University Of South Alabama	AL	General Acute Care Hospital	$0	$4.6M
University Of South Alabama	AL	Internal Medicine Physician	$0	$4.1M
University Of South Alabama	AL	Obstetrics & Gynecology Physician	$0	$4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of South Alabama	AL	Case Management Agency	$0	$8M
University Of South Alabama	AL	Pediatrics Physician	$0	$3.4M
Usa Health Physician Billing Services LLC	AL	Orthopaedic Surgery Physician	$0	$2.6M
Usa Health Physician Billing Services LLC	AL	Hospitalist Physician	$0	$2.3M
Usa Health Physician Billing Services LLC	AL	Neurology Physician	$0	$2.1M
Usa Health Physician Billing Services LLC	AL	Pediatric Gastroenterology Physician	$0	$2.1M
Vital Smiles Alabama, P.C.	AL	General Practice Dentistry	$0	$1.7M
University Of South Alabama	AL	Hospitalist Physician	$0	$1.7M
Usa Health Physician Billing Services LLC	AL	Pediatric Cardiology Physician	$0	$1.6M
University Of South Alabama	AL	Family Medicine Physician	$0	$1.3M