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    OpenPayerNPI Medicare & MedicaidBaptist Memorial Hospital North Mississippi, Inc
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    Baptist Memorial Hospital North Mississippi, Inc — Billing Profile & Reimbursement Data

    NPI 1053375576 · Oxford, MS · General Acute Care Hospital

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    Baptist Memorial Hospital North Mississippi, Inc is a general acute care hospital provider located in Oxford, Mississippi. This profile covers 0 Medicare and 354 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBaptist Memorial Hospital North Mississippi, Inc
    Address1100 Belk Blvd
    CityOxford
    StateMS
    ZIP38655
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedApril 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$38.9M
    Medicare$0

    Key Findings

    BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC shows an effectively single-payer footprint in the available data: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $38.9M, and its NPI was enumerated on 2006-04-13 (~20 years ago), indicating long-standing participation in Medicaid but no recorded Medicare activity in this dataset. This payer mix means Medicaid patterns will dominate any revenue, utilization, or competitive analysis for the facility.

    Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top three Medicaid codes account for 41.0% of this provider's total Medicaid revenue, with 99284 representing 18.1%, 99283 11.5%, and 99285 11.3%. That concentration signals that a large share of Medicaid dollars stems from ED throughput and related acute-care encounters.

    The facility operates a high-throughput emergency department and observation capability: 99284 has 28.3K claims ($5.2M revenue), 99283 has 23.9K claims ($3.3M), 99285 has 16.7K claims ($3.2M), and G0378 (hospital observation service) has 8.2K claims and $2.5M revenue (8.7% of Medicaid revenue). These volumes and the meaningful revenue contribution from G0378 point to both frequent ED visits across acuity levels and an established observation unit to manage short-stay patients.

    Competitive standing for ED services is upper-tier within the state but not uniquely dominant: 99284 ranks #21 of 227 providers in-state (91th percentile) and 99283 ranks #38 of 223 (83th percentile), with the ED codes described as “typical, unremarkable volume” in the data. In other words, the hospital is a major regional ED contributor with volumes generally above median peer levels but without extreme outlier status for these codes.

    Beyond the ED, the provider reports meaningful oncology and infusion activity that supports a broader inpatient/outpatient specialty mix: J9271 (pembrolizumab) contributes $836.4K, 96413 (chemotherapy) $807.9K, J2505 (pegfilgrastim) $612.9K, and 78815 (PET/CT) $420.4K. These oncology-related payments and the presence of high-cost biologic injections indicate an active oncology service line and infusion capacity that supplements the hospital’s acute-care revenue base.

    The hospital also shows solid cardiovascular and advanced imaging capability: 78452 (SPECT cardiac imaging) generates $744.9K and ranks #6 of 49 providers in-state (90th percentile; notably above typical state volume for this code), 93306 (echocardiography) produces $663.1K, and 93458 (imaging supervision for coronary angiography) adds $407K. Collectively these codes suggest on-site cardiac diagnostic and interventional imaging services that complement ED and inpatient care.

    High-volume procedural and medication-administration codes underline frequent bedside interventions and infusion throughput: 96374 (IV push medication) has 17.2K claims, 96372 (subcutaneous/intramuscular injections) has 19.2K claims and is ranked at the 97th percentile (notably above typical state volume), and 96375 has 18.2K claims. This pattern indicates routine, high-frequency administration of drugs and fluids across inpatient and ED settings rather than a narrow specialty-only practice.

    A few codes are statistical outliers or notably elevated versus peers and point to service strengths: D2930 (16.1K claims, $806.8K) ranks #6 of 156 providers (97th percentile; notably above typical state volume for this code), and 96372 is also at the 97th percentile. At the same time, many high-revenue codes cluster in the 80–90th percentiles, meaning the hospital consistently performs above-average volumes across ED, imaging, oncology, and infusion-related services without being an extreme statewide outlier across most categories.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    354 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.28,270$180$5.2M
    99283The 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.23,920$140$3.3M
    99285The 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.16,680$190$3.2M
    G0378Hospital observation service, per hour8,250$300$2.5M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.17,180$80$1.3M
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…3,410$310$1.1M
    74177The 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.6,980$150$1M
    J9271Injection, pembrolizumab, 1 mg290$2,900$836.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…7,280$110$807.9K
    D2930N/A16,140$50$806.8K

    Showing 1–10 of 354

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    354 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271Injection, pembrolizumab, 1 mg810390$3,870$2M
    G0378Hospital observation service, per hour11701,480$370$1.4M
    99284The 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.212303,260$120$1.4M
    99283The 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.382205,690$100$1.2M
    99285The 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.241803,000$140$1.1M
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…10305,050$120$762K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.11904,540$90$665.4K
    J2505Injection, pegfilgrastim, 6 mg410220$1,630$588.9K
    J0897Injection, denosumab, 1 mg720960$500$531.9K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…430240$260$353.3K

    Showing 1–10 of 354

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Baptist Memorial Hospital North Mississippi, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Medical Group IncTNInternal Medicine Physician$0$35.6M
    Mark StrongMSCardiovascular Disease Physician$722.5K$0
    Charles LaneyMSCardiovascular Disease Physician$548K$0
    Justin MayTNInterventional Cardiology Physician$533.8K$0
    Mark CampbellMSInterventional Cardiology Physician$504.2K$0
    Kevin CollinsTNRadiation Oncology Physician$338.4K$0
    Thomas FlauttTXClinical Cardiac Electrophysiology Physician$286.8K$0
    Robin SealeMSCertified Registered Nurse Anesthetist$106.7K$0
    Suhail ObajiMSMedical Oncology Physician$99.9K$0
    William ReidMSCertified Registered Nurse Anesthetist$64.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Baptist Memorial Hospital North Mississippi, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Commission On Mental Illness/mental RetardationMSMental Health Clinic/Center (Including Community Mental Health Center)$0$27.1M
    North Mississippi Commission On Mental Illness/mental RetardationMSMental Health Clinic/Center (Including Community Mental Health Center)$0$18.3M
    North Ms Regional CenterMSCommunity/Behavioral Health Agency$0$9.4M
    Oxford Dental SpecialistsMSPediatric Dentistry$0$8.9M
    Gathright-reed Medical Supply LLCMSCommunity/Retail Pharmacy$0$7.3M
    Baptist And Physicians Outpatient Surgery Center Of North Ms, LPMSAmbulatory Surgical Clinic/Center$2.4M$2.4M
    Go Orthodontics PartnershipMSOrthodontics and Dentofacial Orthopedics Dentistry$0$4.1M
    Oxford Eye Surgery Center,l.pMSOphthalmologic Surgery Clinic/Center$2.5M$851.8K
    North Ms Outpatient TherapyMSPhysical Therapist$0$3.2M
    Priority Medical Transportation, Inc.MSLand Ambulance$0$3.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Baptist Memorial Hospital North Mississippi, Inc — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi