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    OpenPayerNPI Medicare & MedicaidNeshoba County General Hospital
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    Neshoba County General Hospital — Billing Profile & Reimbursement Data

    NPI 1083659734 · Philadelphia, MS · Critical Access Hospital

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    Neshoba County General Hospital is a critical access hospital provider located in Philadelphia, Mississippi. This profile covers 0 Medicare and 183 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNeshoba County General Hospital
    Address1001 Holland Ave
    CityPhiladelphia
    StateMS
    ZIP39350
    TaxonomyCritical Access Hospital
    NPI EnumeratedJune 18, 2006

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

    Payer SourceTotal Paid
    Medicaid$22.4M
    Medicare$0

    Key Findings

    NESHOBA COUNTY GENERAL HOSPITAL is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is reported as $22.4M. The absence of Medicare activity means analysts should treat this facility’s financial exposure and utilization patterns as Medicaid-driven rather than split across traditional Medicare/Medicaid mixes.

    Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 47.7% of the provider’s total Medicaid revenue. The single largest code is 99283 ($5.2M; 26.0% of Medicaid revenue), followed by 99284 ($3.1M; 15.5%), indicating a small number of services drive nearly half of all Medicaid receipts.

    Clinical mix and service lines point to a high-volume emergency care and observation operation: multiple ED E/M codes (99282–99285) appear among top revenue contributors with 99283 at $5.2M, 99284 at $3.1M, and 99285 at $1.2M. The presence of G0378 (hospital observation service, $720.9K) alongside these ED codes reinforces that acute, unscheduled care and short-stay observation are core functions of this Critical Access Hospital.

    The provider is a statewide outlier for infectious respiratory testing: 87426 (SARS–CoV–2), 87804 (influenza), 87880 (group A Strep) and 87807 (RSV) all rank #2 in-state and are described as extreme outliers, far above typical state volume for these codes. These very high testing volumes (87426: 37K claims, $1.2M; 87804: 99.7K claims, $1.2M; 87880: 59.6K claims, $715.4K; 87807: 17.3K claims, $189.8K) suggest the hospital functions as a major testing hub or funnels large numbers of symptomatic patients through its ED and lab services.

    The provider shows heavy throughput for medication administration and basic therapeutic procedures: 96372 ($834.9K; ranks #22 of 751, labeled an extreme outlier), 96374 ($523.1K), 96365 ($333.6K) and 96361 ($170.4K) all appear in the top codes. Coupled with J0561 (penicillin benzathine, $364.7K; rank #2 of 56 and described as an extreme outlier), these volumes indicate substantial on‑site injection and infusion activity supporting ED and outpatient treatments.

    Competitive standing is mixed by service line: for ED E/M codes the hospital ranks relatively high in some measures (99283 ranks #15 of 223, 94th percentile) but more modestly for higher-acuity ED codes (99285 ranks #51 of 175, 71st percentile). In contrast, for several lab test codes and selected drug/injection codes the provider is effectively dominant statewide (multiple #2 ranks and 100th‑percentile/extreme outlier designations), meaning it is a major player in diagnostic testing while a strong but not universally dominant ED competitor.

    Tenure and stability: the NPI was enumerated on 2006-06-18 (~20 years ago), indicating long-standing operations in the market. That longevity combined with the concentrated Medicaid revenue base suggests established referral and patient-flow patterns driving current utilization.

    From a revenue-risk and operational perspective, dependence on a few high-revenue Medicaid codes (top three = 47.7% of Medicaid revenue) plus extreme state-level concentrations in respiratory and injection services implies sensitivity to policy or utilization shifts affecting ED visits, testing demand, or Medicaid reimbursement for those specific codes. Analysts should flag this concentration when modeling reimbursement changes or negotiating managed-Medicaid arrangements.

    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.

    183 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.37,910$140$5.2M
    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.17,020$180$3.1M
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…37,010$30$1.2M
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.99,700$10$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.5,820$200$1.2M
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…21,410$40$834.9K
    G0378Hospital observation service, per hour1,750$410$720.9K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.59,610$10$715.4K
    97110Therapeutic 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…16,830$40$622.8K
    99282The 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.7,110$80$576.2K

    Showing 1–10 of 183

    • 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

    183 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0378Hospital observation service, per hour34701,480$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.492303,260$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.152205,690$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.511803,000$140$1.1M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.35904,540$90$665.4K
    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…2230240$260$353.3K
    96365The 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.28902,110$80$325.8K
    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.491101,250$110$311.6K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…472201,590$50$291.3K
    99282The 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.281502,200$70$280.7K

    Showing 1–10 of 183

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Neshoba County General Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neshoba County General HospitalMSRural Health Clinic/Center$0$7.2M
    Neshoba County General HospitalMSRural Health Clinic/Center$0$2.4M
    Neshoba County General HospitalMSEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Azhar PashaFLPain Medicine (Anesthesiology) Physician$148.8K$0
    Attila RokaMSClinical Cardiac Electrophysiology Physician$108.5K$0
    Kary WhiteheadMSSleep Medicine (Internal Medicine) Physician$106.3K$0
    Usman SalahuddinMSCardiovascular Disease Physician$88.1K$0
    Linus MartinMSEmergency Medical Services (Emergency Medicine) Physician$68.4K$0
    Hailey ThompsonMSFamily Medicine Physician$35.1K$0
    Aamir HashmatMSNeurology Physician$20K$0

    Nearby Providers

    Other providers in the same ZIP code as Neshoba County General Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mississippi Band Of Choctaw IndiansMSGeneral Acute Care Hospital$0$56.9M
    New Beginnings Adult Day Care ServicesMSAdult Day Care Clinic/Center$0$4.8M
    Performance Therapy LLCMSPhysical Therapist$0$4M
    New Beginnings Adult Day Care Services, LLCMSHomemaker$0$3.6M
    Neshoba County Ambulance EnterpriseMSLand Ambulance$549.4K$2.3M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M
    Richard StriblingMSOptometrist$136K$73.5K
    Brenda ThrashMSFamily Nurse Practitioner$144.1K$0
    Michael WilcherMSPhysical Therapist$136.1K$0
    Terry WinsteadMSOccupational Therapist$117.4K$0

    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
    Neshoba County General Hospital — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi