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

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

Mid-south Pulmonary Specialists PC (NPI 1073592275)

Mid-south Pulmonary Specialists PC is a critical care medicine (internal medicine) physician provider located in Memphis, Tennessee. This profile covers 0 Medicare and 23 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	Mid-south Pulmonary Specialists PC
Address	5050 Poplar Ave
City	Memphis
State	TN
ZIP	38157
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	January 16, 2006

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	63,270	$40	$2.7M
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…	54,200	$30	$1.5M
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…	3,220	$80	$260.6K
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…	6,480	$40	$252.8K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	430	$510	$218K
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…	2,270	$60	$131.4K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	3,730	$20	$70.9K
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…	1,190	$60	$70.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	480	$100	$46.4K
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…	590	$80	$45.8K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Mid-south Pulmonary Specialists PC — 2 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1,426	3,760	610	$40	$202.3K
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…	571	4,050	620	$30	$183.9K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	18	80	160	$220	$98.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	46	160	110	$90	$96K
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…	579	1,080	120	$80	$90.7K
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…	5	550	290	$30	$77K
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…	9	840	440	$20	$73K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	237	310	1,590	$1	$53.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	406	660	190	$60	$53.3K
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…	302	1,240	120	$60	$53.1K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid South Senior Care, LLC	TN	In Home Supportive Care Agency	$0	$21.7M
Rha Health Services Tn, LLC	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.5M
Mark Ledoux	TN	Neurology Physician	$165.8K	$0
Peter Law	TN	Pulmonary Disease Physician	$116.9K	$0
Alida Gage	TN	Psychologist	$72.3K	$0
Brandon Habkouk	TN	Acute Care Nurse Practitioner	$13.5K	$0
Rachael Love	TN	Acute Care Nurse Practitioner	$10K	$0
Fenisha Hollis	TN	Critical Care Medicine Nurse Practitioner	$8K	$0

Mid-south Pulmonary Specialists PC — Billing Profile & Reimbursement Data

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Mid-south Pulmonary Specialists PC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Richards	TN	Critical Care Medicine (Internal Medicine) Physician	$115.9K	$217.8K
Michael Munday	TN	Critical Care Medicine (Internal Medicine) Physician	$163.4K	$50.7K
Garrettson Ellis	TN	Critical Care Medicine (Internal Medicine) Physician	$105.9K	$92.6K
Lisa Kennedy	TN	Critical Care Medicine (Internal Medicine) Physician	$186.9K	$0
Paul Deaton	TN	Critical Care Medicine (Internal Medicine) Physician	$174.6K	$0
Matthew Mabie	TN	Critical Care Medicine (Internal Medicine) Physician	$158.5K	$1.8K
Nathan Wilds	TN	Critical Care Medicine (Internal Medicine) Physician	$159.7K	$0
Robert Aguillard	TN	Critical Care Medicine (Internal Medicine) Physician	$149.4K	$0
Anthony Mattox	TN	Critical Care Medicine (Internal Medicine) Physician	$123.4K	$0
Andrew Holt	TN	Pulmonary Disease Physician	$121.7K	$0