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.

Health Care Authority For Baptist Health, An Affiliate Of Uabhs (NPI 1033534524)

Field	Value
Entity Type	Organization
Organization	Health Care Authority For Baptist Health, An Affiliate Of Uabhs
Address	301 Brown Springs Rd
City	Montgomery
State	AL
ZIP	36117
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 20, 2014

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

151 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50,350	$60	$3.2M
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…	32,360	$40	$1.4M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	33,440	$30	$1.1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,600	$50	$248.3K
99203	The provider sees a new 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 provider…	2,910	$70	$194.9K
99238	The 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…	2,840	$50	$147.8K
99204	The provider sees a new 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 provider…	1,210	$110	$127.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,050	$80	$86.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	640	$130	$84.6K
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,…	3,150	$20	$47.2K

Showing 1–10 of 151

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

Health Care Authority For Baptist Health, An Affiliate Of Uabhs — 6 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

151 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	46	60	1,260	$60	$1.2M
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	49	80	150	$1,540	$787.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	28	40	450	$20	$591.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	29	40	460	$20	$584.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	18	40	1,540	$10	$397.4K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	28	40	430	$10	$391.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	209	380	440	$90	$362K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	25	90	500	$40	$303.6K
87150	The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…	7	10	960	$20	$281.4K
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…	22	1,990	680	$60	$201.7K

Showing 1–10 of 151

Related Providers

Other providers that share a Tax Identification Number (TIN) with Health Care Authority For Baptist Health, An Affiliate Of Uabhs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore Hematology Oncology Associates PC	NY	Specialist	$0	$61.9M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$16.7M
Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$12M
The Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$5.2M
The Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Hematology & Oncology Physician	$0	$1M
Scott Sims	AL	Cardiovascular Disease Physician	$472.4K	$0
James Davies	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$397.7K	$0
Paul Moore	AL	Interventional Cardiology Physician	$387K	$0
Wynne Crawford	AL	Clinical Cardiac Electrophysiology Physician	$384.2K	$0
Amy Cooper	AL	Cardiovascular Disease Physician	$271K	$0

Nearby Providers

Other providers in the same ZIP code as Health Care Authority For Baptist Health, An Affiliate Of Uabhs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montgomery Pediatric Assoc, P.A.	AL	Pediatric Adolescent Medicine Physician	$0	$8.3M
Tooth Buds At Lagoon Park, LLC	AL	General Practice Dentistry	$0	$7.8M
Smiles From Us, PLLC	AL	Pediatric Dentistry	$0	$5.9M
Dentists 4 Children, L.L.C.	AL	Pediatric Dentistry	$0	$5.7M
Pediatric Specialists Of Montgomery, L.L.C.	AL	Pediatric Cardiology Physician	$0	$5.3M
Alexander Pediatrics LLC	AL	Pediatrics Physician	$0	$4.8M
River Region Psychiatry Associates LLC	AL	Psychiatry Physician	$0	$4.5M
Oral And Maxillofacial Surgery Associates	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$4.4M
East Montgomery Pediatrics LLC	AL	Pediatrics Physician	$0	$3M
Ob-gyn Associates Of Montgomery, P.C.	AL	Obstetrics & Gynecology Physician	$0	$2.6M

Health Care Authority For Baptist Health, An Affiliate Of Uabhs — 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