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

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

Jackson Hma LLC (NPI 1033163092)

Field	Value
Entity Type	Organization
Organization	Jackson Hma LLC
Address	1850 Chadwick Dr
City	Jackson
State	MS
ZIP	39204
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$31M
Medicare	$0

Key Findings

This provider is effectively single-payer in these public datasets: no Medicare billing on file and Total Medicaid revenue: $31M, indicating Medicaid is the operating revenue base captured in our claims set. The absence of Medicare billing on file suggests analyses of Medicare-based benchmarks or fee schedules are not applicable for JACKSON HMA LLC in this dataset.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 53.9% of this provider's total Medicaid revenue, driven primarily by emergency department E/M codes. The single largest line is 99283 (30.9% of Medicaid revenue, $7.7M) followed by 99284 (16.5%, $4.1M) and 99282 (6.5%, $1.6M), which together dominate the facility’s Medicaid receipts.

The code mix and dollar concentrations indicate an ED- and acute outpatient–centric operation. High-revenue ED E/M codes 99283, 99284, 99282 and observation hours G0378 point to substantial emergency and observation throughput, while CT (74177, 74176), angiography imaging supervision (93458, 75625), and chest x‑rays (71045, 71046) reflect typical hospital-based diagnostic support for acute care.

Competitive standing in-state is strong for several ED and related codes: 99283 ranks #4 of 223 providers in-state (99th percentile; notably above typical state volume) and 99282 ranks #2 of 146 providers in-state (99th percentile; notably above typical state volume). By contrast, 99284 is more typical for the state at rank #31 of 227 providers (87th percentile; typical, unremarkable volume), so the hospital shows both exceptional volume for some ED acuity levels and more ordinary volume at others.

There are multiple statistical outliers in injection/infusion and low-acuity ED codes, which signal operational emphasis on high-volume procedural throughput. For example, 96372 (24.1K claims, $37 avg paid/claim, $892.4K revenue) ranks #16 of 751 providers in-state (98th percentile; extreme outlier, far above typical state volume), and 99281 (17.5K claims, $48 avg paid/claim, $838.1K revenue) ranks #2 of 84 providers in-state (99th percentile; extreme outlier, far above typical state volume).

Service-mix details show sizable utilization of rapid IV medication/infusion and observation services alongside ED visits: 96374 (13.5K claims, $82 avg paid/claim, $1.1M revenue) and 96365 (3K claims, $88 avg paid/claim, $261.4K revenue) indicate frequent acute medication administration, while G0378 (4.6K claims, $245 avg paid/claim, $1.1M revenue) supports ongoing observation care billing. These patterns align with a hospital operating a busy emergency department with associated short-term observation and therapeutic procedures.

Diagnostic and testing volumes are also notable and consistent with acute respiratory and inpatient support services. Large counts for COVID/viral testing codes (87428: 11.9K claims, $51 avg paid/claim, $608.2K revenue; C9803: 15.8K claims, $16 avg paid/claim, $252.9K revenue) plus chest imaging (71045, 71046) and CT (74177, 74176) show testing and imaging are meaningful ancillary revenue streams that complement ED throughput.

Tenure is long enough to evaluate market behavior: NPI enumerated: 2006-05-22 (~20 years ago). That duration supports treating observed billing patterns as established operational behavior rather than a short-term anomaly, and the facility’s strong in-state ranks on multiple ED codes indicate an entrenched regional role for emergency and acute outpatient services.

Medicaid: Complete Services Breakdown

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

270 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	59,480	$130	$7.7M
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.	24,370	$170	$4.1M
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.	19,090	$80	$1.6M
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.	5,670	$210	$1.2M
G0378	Hospital observation service, per hour	4,570	$250	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,460	$80	$1.1M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	24,120	$40	$892.4K
99281	The provider sees a patient for the lowest level emergency department visit.	17,460	$50	$838.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	11,930	$50	$608.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	14,440	$40	$534.1K

Showing 1–10 of 270

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Jackson Hma LLC — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

270 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	18	70	1,480	$370	$1.4M
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.	31	230	3,260	$120	$1.4M
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.	4	220	5,690	$100	$1.2M
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.	54	180	3,000	$140	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	18	90	4,540	$90	$665.4K
37229	N/A	5	10	120	$1,350	$358.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	35	90	2,110	$80	$325.8K
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.	37	110	1,250	$110	$311.6K
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.	2	150	2,200	$70	$280.7K
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…	435	1,910	930	$60	$278.7K

Showing 1–10 of 270

Nearby Providers

Other providers in the same ZIP code as Jackson Hma LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
App Of Mississippi Ed, LLC	MS	Emergency Medicine Physician	$0	$17M
Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$10.2M
Heritage Home Health Agency	MS	Home Health Agency	$0	$6.3M
Bio-medical Applications Of Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Central Mississippi Civic Improvement Association, Inc.	MS	Community Health Worker	$0	$3.4M
Isd Renal Inc	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
River Oaks Management Company LLC	MS	Family Medicine Physician	$0	$2.6M
Trinity Pediatric Clinic	MS	Primary Care Clinic/Center	$0	$2.4M
Isd Renal Inc	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Mississippi Hma Hospitalists, LLC	MS	Hospitalist Physician	$0	$1.3M

Jackson Hma LLC — 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

Nearby Providers

Frequently Asked Questions

References