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

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

Island Medical Alabama LLC (NPI 1104097666)

Field	Value
Entity Type	Organization
Organization	Island Medical Alabama LLC
Address	1912 Al Highway 157
City	Cullman
State	AL
ZIP	35058
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 12, 2008

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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.	29,250	$50	$1.5M
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.	15,050	$60	$917.9K
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.	14,810	$30	$473.9K
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…	1,510	$70	$107.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	8,770	$1	$35.1K
1036F	N/A	110	$0	$0
4004F	The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…	70	$0	$0
99053	The provider renders overnight services at a 24 hour facility.	1,060	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	160	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	360	$0	$0

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Island Medical Alabama LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	24	240	4,820	$60	$807.6K
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.	18	190	1,480	$100	$730.7K
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.	59	230	5,160	$40	$474.1K
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…	9	60	270	$110	$94.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	24	170	890	$10	$25.2K
99053	The provider renders overnight services at a 24 hour facility.	10	20	1,060	$1	$80
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	3	10	500	$1	$10
1036F	N/A	109	180	200	$1	$1
4004F	The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…	20	30	110	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	135	240	230	$0	$0

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Island Medical Alabama LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Fumento	DE	Emergency Medicine Physician	$129.3K	$0
Bahador Tafazoli	AL	Sleep Medicine (Family Medicine) Physician	$106.1K	$0
Steven Coppock	AL	Family Medicine Physician	$61.3K	$0
Jason Begue	TN	Emergency Medicine Physician	$60.8K	$0
Thomas Draper	MS	Family Medicine Physician	$38K	$0

Nearby Providers

Other providers in the same ZIP code as Island Medical Alabama LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cullman Regional Medical Center, Inc	AL	General Acute Care Hospital	$0	$7.5M
North Central Neurology Associates, PC	AL	Neurology Physician	$0	$7.4M
Internal Medicine And Pediatrics Of Cullman	AL	Specialist	$0	$7M
Christopher Laganke	AL	Neurology Physician	$4.4M	$0
Henry Robson	AL	Oral and Maxillofacial Surgery (Dentist)	$5.3K	$3.5M
Cullman Primary Care, PC	AL	Family Medicine Physician	$0	$1.7M
Willow Tree Pediatrics PC	AL	Pediatrics Physician	$0	$1.4M
Cullman Primary Care, PC	AL	Family Medicine Physician	$0	$1.1M
Crmc Medical Group LLC	AL	Multi-Specialty Clinic/Center	$0	$972.8K
Crmc Medical Group LLC	AL	Urgent Care Clinic/Center	$0	$968.5K

Island Medical Alabama LLC — Billing Profile & Reimbursement Data

Sign up for Island Medical Alabama LLC — Billing Profile & Reimbursement Data policy alerts

Island Medical Alabama LLC — Billing Profile & Reimbursement Data

Sign up for Island Medical Alabama LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References