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 1093142598)

Memorial Hospital At Gulfport is a urology physician provider located in Gulfport, Mississippi. This profile covers 0 Medicare and 138 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	Memorial Hospital At Gulfport
Address	1340 Broad Ave Ste 210
City	Gulfport
State	MS
ZIP	39501
Taxonomy	Urology Physician
NPI Enumerated	September 30, 2013

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	82,930	$30	$2.2M
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…	35,100	$20	$737K
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…	19,160	$20	$306.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	11,670	$20	$280.2K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	5,040	$50	$262.1K
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…	6,810	$40	$251.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	55,650	$1	$222.6K
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…	5,480	$40	$202.6K
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…	8,250	$20	$198K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	3,730	$50	$171.8K

Showing 1–10 of 138

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 — 9 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	197	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.	153	180	3,000	$140	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	9	10	630	$580	$907K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	33	50	300	$510	$483.3K
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…	47	1,910	930	$60	$278.7K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	10	30	2,870	$50	$273.5K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	69	120	1,480	$90	$263.1K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	14	30	90	$730	$232.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	303	340	4,380	$20	$210.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4	130	780	$90	$209.6K

Showing 1–10 of 138

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$87.5M
Memorial Hospital At Gulfport	MS	Emergency Medicine Physician	$0	$5.8M
Memorial Hospital At Gulfport	MS	Pediatrics Physician	$0	$1.9M
Memorial Hospital At Gulfport	MS	Hospitalist Physician	$0	$1.7M
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$1.4M
Mahmoud Zayed	MS	Cardiovascular Disease Physician	$581.1K	$0
William Passarelli	MS	Cardiovascular Disease Physician	$559.9K	$0
Manoj Shah	MS	Cardiovascular Disease Physician	$557.7K	$0
Antoine Rizk	MS	Cardiovascular Disease Physician	$509.1K	$0
Robert Harris	KS	Surgery Physician	$486.6K	$0

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
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
Alan Lewis	MS	Dermatology Physician	$596.1K	$0

Memorial Hospital At Gulfport — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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