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.

Womans Clinic, A Professional Association (NPI 1043203136)

Womans Clinic, A Professional Association is a rural health clinic/center provider located in Clarksdale, Mississippi. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Womans Clinic, A Professional Association
Address	2000 N State St
City	Clarksdale
State	MS
ZIP	38614
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	August 24, 2005

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	14,910	$150	$2.2M
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,…	12,970	$150	$1.9M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	11,550	$160	$1.8M
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	5,110	$150	$776.1K
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…	4,130	$150	$627.5K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	190	$890	$170.8K
99234	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1,990	$80	$157.1K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	210	$650	$135.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	380	$120	$44.8K
99218	N/A	510	$60	$32.7K

Showing 1–10 of 25

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

Womans Clinic, A Professional Association — 2 of 20 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	155	1,910	930	$60	$278.7K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	7	120	1,480	$90	$263.1K
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…	324	1,670	720	$50	$196.4K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	10	120	890	$90	$145.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	10	50	70	$630	$99.1K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	5	20	40	$760	$97.5K
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,…	14	670	230	$60	$89.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	49	80	410	$70	$80.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	35	100	190	$100	$69.2K
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.	174	190	120	$20	$56.6K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delta Health System	MS	General Acute Care Hospital	$0	$8.3M
Steven Clark	MS	Internal Medicine Physician	$741.5K	$0
Derek Miles	MS	Urology Physician	$126.4K	$0
Alexander Snodgress	FL	Emergency Medicine Physician	$125.6K	$0
Jay Culpepper	MS	Orthopaedic Surgery Physician	$87.2K	$19.9K
Gowdhami Mohan	MS	Sleep Medicine (Internal Medicine) Physician	$75.6K	$0
Yanglin Guo	MS	Internal Medicine Physician	$29.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pafford Emergency Medical Services, Inc	MS	Ambulance	$8.6M	$22.2M
Region One Mental Health Center	MS	Public Health or Welfare Agency	$0	$15M
Bryant Hirsberg	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$13.5M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M
Childrens Clinic Of Clarksdale PA	MS	Pediatrics Physician	$0	$2.9M
Aaron E. Henry Community Health Services Center, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$2.7M
Ancor Corporation	MS	Community/Behavioral Health Agency	$0	$2.3M
Delta Medical Foundation	MS	Rural Health Clinic/Center	$0	$2.3M
Mississippi Emergency Physician Services, LLC	MS	Emergency Medicine Physician	$0	$2.1M
Family First Clinic Of Clarksdale, PLLC	MS	Family Medicine Physician	$0	$1.9M

Womans Clinic, A Professional Association — Billing Profile & Reimbursement Data

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Womans Clinic, A Professional Association — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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