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.

Memorial Hospital At Gulfport (NPI 1073606901)

Field	Value
Entity Type	Organization
Organization	Memorial Hospital At Gulfport
Address	4500 13th St
City	Gulfport
State	MS
ZIP	39501
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$87.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $87.5M, which indicates the hospital’s fee-for-service footprint in our dataset is dominated by Medicaid rather than Medicare. Analysts should treat comparisons to Medicare peers as not applicable for this entity because Medicare volume is absent.

Revenue is highly concentrated in a few high‑volume emergency department codes: the top three Medicaid codes (99284, 99283, 99285) account for 33.4% of the provider’s total Medicaid revenue. Those codes alone generate $7.7M (99284), $6.4M (99283), and $5.1M (99285) respectively, signaling ED services are the single largest revenue driver on Medicaid.

Operationally the billing mix points to a high‑throughput emergency department and large outpatient clinic operation: 99284 has 44.6K claims ($7.7M, 13.4%), 99283 has 48.8K claims ($6.4M, 11.2%), and 99285 has 27.1K claims ($5.1M, 8.8%). The combination of very large ED claim counts and the top‑3 revenue share implies the hospital serves a heavy acute‑care and urgent presentation population on Medicaid.

Outpatient evaluation‑and‑management activity is also pronounced, suggesting substantial clinic and follow‑up volume: 99214 appears with 63K claims ($3.5M, 6.1%) and 99213 with 83.7K claims ($3.1M, 5.4%), both labeled as extreme outliers and far above typical state volume. G0463 (hospital outpatient clinic visit) shows 126.7K claims ($1.3M, 2.2%) and is likewise an extreme outlier, reinforcing that ambulatory clinic throughput is a major operational element.

The provider supports significant oncology and infusion services on Medicaid: J9271 (pembrolizumab) produced $3.1M (806 claims, 5.4%) and chemotherapy/infusion codes such as 96413, 96374, 96361, and 96365 each contribute material revenue and are high‑volume relative to peers. These code patterns indicate an on‑site infusion/oncology treatment capability that materially contributes to Medicaid revenue.

Advanced diagnostic and procedural capacity is evident: 93458 (coronary angiography imaging supervision) is $1.4M (2.5%) and ranks #1 in‑state, described as an extreme outlier, while cardiac imaging 93306 and nuclear cardiology 78452 also appear above typical state volume. These items suggest the hospital operates catheterization and advanced imaging services that attract substantial Medicaid procedural reimbursement.

Across many high‑revenue codes the provider ranks at or near the top of in‑state peers, demonstrating a dominant Medicaid presence for multiple service lines: examples include 87633 (100th percentile, extreme outlier), G0463 (100th percentile, extreme outlier), 99214 and 99213 (both 100th percentile, extreme outliers), and 93458 (rank #1, 100th percentile). Where labels indicate "notably above typical" (e.g., 99284, 99283) or "typical, unremarkable" (e.g., 99285, 96413), those nuances should guide expectations about whether the provider’s share reflects exceptional scale or standard regional activity.

The NPI tenure (enumerated 2006-10-02, ~20 years ago) indicates an established provider in the market; combined with the single‑payer Medicaid concentration and the cluster of extreme outlier volumes across ED, outpatient clinic, infusion, and cardiac imaging codes, this profile is consistent with a longstanding regional acute care and safety‑net hospital that captures large Medicaid case volumes.

Medicaid: Complete Services Breakdown

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

577 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.	44,580	$170	$7.7M
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.	48,790	$130	$6.4M
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.	27,140	$190	$5.1M
G0378	Hospital observation service, per hour	12,640	$340	$4.3M
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…	62,990	$60	$3.5M
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…	83,670	$40	$3.1M
J9271	Injection, pembrolizumab, 1 mg	810	$3,820	$3.1M
87633	The 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…	11,850	$240	$2.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29,300	$90	$2.8M
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.	25,640	$70	$1.8M

Showing 1–10 of 577

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

Memorial Hospital At Gulfport — 18 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

577 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	4	10	390	$3,870	$2M
G0378	Hospital observation service, per hour	4	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.	11	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.	8	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.	14	180	3,000	$140	$1.1M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	5	10	1,930	$190	$979.6K
J0585	Injection, onabotulinumtoxina, 1 unit	2	10	630	$580	$907K
96413	Chemotherapy 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…	4	30	5,050	$120	$762K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4	90	4,540	$90	$665.4K
J2505	Injection, pegfilgrastim, 6 mg	8	10	220	$1,630	$588.9K

Showing 1–10 of 577

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Hospital At Gulfport, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Washington Hospital Inc.	VA	General Acute Care Hospital	$0	$80.1M
University Of South Alabama	AL	Children's Hospital	$0	$24.8M
University Of South Alabama	AL	Neonatal-Perinatal Medicine Physician	$0	$11.6M
Memorial Hospital At Gulfport	MS	Urology Physician	$0	$6.2M
The Center For Pain Of Montgomery LLC	AL	Interventional Pain Medicine Physician	$0	$5.9M
Memorial Hospital At Gulfport	MS	Emergency Medicine Physician	$0	$5.8M
University Of South Alabama	AL	Clinical Medical Laboratory	$0	$4.6M
University Of South Alabama	AL	General Acute Care Hospital	$0	$4.6M
University Of South Alabama	AL	Internal Medicine Physician	$0	$4.1M
University Of South Alabama	AL	Obstetrics & Gynecology Physician	$0	$4M

Nearby Providers

Other providers in the same ZIP code as Memorial Hospital At Gulfport, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gulf Coast Mental Health Center	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
Devoted Heart Home Care, LLC	MS	Home Health Agency	$0	$3.3M
Healing Touch Homemaker And Companion Agency	MS	In Home Supportive Care Agency	$0	$3.1M
Coastal Family Health Center, Inc.	MS	Federally Qualified Health Center (FQHC)	$0	$2.5M
Bio-medical Applications Of Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Harbor View Oral And Facial Surgery LLC	MS	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Memorial Hospital At Gulfport	MS	Hospitalist Physician	$0	$1.7M
Bio-medical Applications Of Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Med-trans Corporation	MS	Air Ambulance	$468.6K	$1.1M
Gulfport Obstetrical & Gynecological Clinic, PA	MS	Obstetrics & Gynecology Physician	$0	$1.4M

Memorial Hospital At Gulfport — 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