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.

Forrest County General Hospital (NPI 1053350462)

Key Findings

Field	Value
Entity Type	Organization
Organization	Forrest County General Hospital
Address	130 Highland Parkway
City	Picayune
State	MS
ZIP	39466
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$21.7M
Medicare	$0

This facility is effectively a Medicaid-only billed hospital in the data: there is no Medicare billing on file and Total Medicaid revenue is $21.7M. That concentrated payer footprint means any analytic or contracting work should be oriented primarily to Medicaid revenue streams rather than Medicare performance metrics.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the top three Medicaid codes (99284, 99285, 99283) together account for 55.4% of the provider’s total Medicaid revenue. Individually those codes generate $4.1M (99284), $3M (99285), and $2.9M (99283), indicating that more than half of Medicaid payments are tied to ED visits with a mix of low, moderate, and high decision-making complexity.

Claim volumes and code mix point to a high-throughput emergency operation with some higher-acuity capacity: 99284 has 21.2K claims, 99283 has 19.7K claims, and 99285 has 13.8K claims on Medicaid. The presence of 99291 (1.1K claims, $249.6K revenue) further signals that the hospital delivers some critical-care level services in addition to routine ED care.

Ancillary services supporting acute care are material to revenue: infusion and procedural administration codes like 96374 ($1.1M, 11.7K claims, 6.4% of Medicaid revenue) and additional infusion/IV hydration codes (96365, 96360, 96361) plus hospital observation G0378 ($887.1K, 2.5K claims, 4.9% of Medicaid revenue) show that the hospital pairs ED throughput with observation and infusion capabilities. This mix is consistent with an acute-care hospital that stabilizes and treats patients in the ED and short-stay/observation settings.

Diagnostic and laboratory billing is also notable and includes state-level outliers for respiratory testing: 87634 (RSV testing) is ranked #2 of 47 providers in-state (98th percentile) and is labeled notably above typical state volume, while U0002 (SARS‑CoV‑2 multiplex) ranks #8 of 85 (92nd percentile) and is also noted as notably above typical. Routine imaging and lab panels (71045/71046 chest x‑rays, 70450 CT head, 80053 CMP, 85025 CBC) appear at typical-to-high volumes, supporting the hospital’s role as an acute diagnostic center.

Relative competitive standing on its top ED codes is busy but not dominant: 99284 ranks #38 of 227 in-state (84th percentile; typical, unremarkable volume), 99285 ranks #27 of 175 (85th percentile; typical, unremarkable volume), and 99283 ranks #48 of 223 (79th percentile; typical, unremarkable volume). In plain terms, the hospital is a consistently active ED provider compared with peers statewide but does not exhibit market-leading dominance on those measures.

The provider has established tenure in national enrollment: NPI was enumerated 2006-06-05 (~20 years ago), indicating an established presence in the market that could correlate with stable referral and operational patterns. Longevity supports the interpretation that the observed billing mix is an enduring operational profile rather than a transient spike.

From a payer-management perspective the top-3 concentration (55.4% of Medicaid revenue) in ED E/M codes suggests that utilization management, alternative payment arrangements, or care-pathway interventions targeted at ED throughput and observation/inpatient avoidance could influence a majority of this provider’s Medicaid spend. Any programmatic interventions should account for the hospital’s significant infusion, observation, and respiratory testing activity when designing performance measures or payment incentives.

Medicaid: Complete Services Breakdown

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

233 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	21,210	$190	$4.1M
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.	13,760	$220	$3M
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.	19,710	$150	$2.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,710	$100	$1.1M
G0378	Hospital observation service, per hour	2,550	$350	$887.1K
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…	17,780	$40	$658K
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.	3,290	$160	$525.8K
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…	6,240	$60	$368.3K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	4,450	$80	$351.9K
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.	3,950	$90	$347.2K

Showing 1–10 of 233

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

Forrest County General Hospital — 2 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

233 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	31	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.	38	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.	48	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.	27	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.	22	90	4,540	$90	$665.4K
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.	27	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.	35	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.	88	150	2,200	$70	$280.7K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	27	30	240	$140	$226.8K
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.	14	90	2,310	$50	$220.5K

Showing 1–10 of 233

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Community Services In Mississippi Inc	MS	Assisted Living Facility (Behavioral Disturbances)	$0	$14.7M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$4.6M
Picayune General Dentistry, Inc.	MS	General Practice Dentistry	$0	$3.6M
Advanced Eyecare, LLC	MS	Optometrist	$0	$1.7M
Horace Combs	MS	General Practice Dentistry	$0	$1.3M
Picayune Urgent Care Clinic, LLC	MS	Urgent Care Clinic/Center	$0	$1.3M
Highland Community Hospital Physicians	MS	Obstetrics & Gynecology Physician	$0	$1.2M
Willow Bend Emergency Group, LLC	MS	Emergency Medicine Physician	$0	$1.2M
Kraig Stasney	MS	Optometrist	$71.7K	$228.6K
Lori Blackmer	MS	Optometrist	$94.4K	$101.9K

Forrest County General Hospital — Billing Profile & Reimbursement Data

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Forrest County General Hospital — 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
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$81.6M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$9.5M
Forrest County General Hospital	MS	Critical Access Hospital	$0	$3.8M
Forrest County General Hospital	MS	Critical Access Hospital	$0	$3.7M
Forrest County General Hospital	MS	Home Health Agency	$0	$3.1M
Forrest County General Hospital	MS	Rural Health Clinic/Center	$0	$2.8M
Forrest County General Hospital	MS	Family Medicine Physician	$0	$2.7M
Christopher Douglas	MS	Interventional Cardiology Physician	$1.7M	$0
Forrest County General Hospital	MS	Rural Health Clinic/Center	$0	$1.6M
Forrest County General Hospital	MS	Psychiatry Physician	$0	$1.5M