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.

Health Care Authority For Baptist Health An Affiliate Of Uabhs (NPI 1104917780)

Key Findings

Field	Value
Entity Type	Organization
Organization	Health Care Authority For Baptist Health An Affiliate Of Uabhs
Address	400 Taylor Rd
City	Montgomery
State	AL
ZIP	36117
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

This provider is effectively single-payer in the available data: there is no Medicare billing on file and all reported lifetime program revenue is $12M of Medicaid revenue. The absence of Medicare billing suggests the provider’s current payer exposure and contracting activity will be driven almost entirely by Medicaid relationships and reimbursement dynamics.

Revenue concentration in Medicaid is high and heavily ED-driven: the top three Medicaid codes (99284, 99285, 99283) account for 55.2% of this provider’s total Medicaid revenue, with 99284 reported at $2.8M (23.7%), 99285 at $1.9M (16.5%), and 99283 at $1.7M (15.0%). This concentration indicates that a majority of Medicaid dollars flow from emergency department evaluation-and-management encounters.

Claim volumes and acuity mix point to a busy emergency department footprint: 99283 shows 41.5K claims ($42 avg, $1.7M revenue), 99284 shows 37.2K claims ($74 avg, $2.8M revenue), and 99285 shows 6.5K claims ($294 avg, $1.9M revenue). The distribution across low-, moderate-, and high-level ED E/M codes suggests high throughput with a meaningful proportion of higher-acuity visits contributing disproportionately to revenue because of higher per-claim payments.

The provider is a major statewide outlier for certain laboratory tests and point-of-care diagnostics, signaling substantial lab capacity or centralized testing activity: 87637 is reported at 7.1K claims ($110 avg, $780.8K revenue) and ranks #1 of 58 in-state (100th percentile; extreme outlier), while 81003 ranks #3 of 331 (99th percentile; extreme outlier). Several other respiratory and infectious-disease test codes (87636, 87631, 87651) also appear at high state percentiles, consistent with heavy respiratory-pathogen testing.

There is a notable mix of diagnostic support services beyond the ED: 80053 (CMP) and 85025 (CBC) have large claim volumes (34.4K and 38.7K claims respectively) and sit in high state percentiles, and 71046/71045 chest x-ray volumes are elevated. Together these lab and imaging patterns indicate integrated outpatient/ED diagnostic throughput, where routine panels and imaging are frequent revenue contributors alongside E/M services.

Per-claim reimbursement varies substantially across ED codes and shifts revenue share: 99285 averages $294 paid/claim versus $74 for 99284 and $42 for 99283. This spread means relatively smaller counts of higher-acuity visits can represent a sizable share of revenue, which aligns with the reported revenue shares for those codes.

The provider shows domain leadership in specific niches of in-state volume: beyond 87637’s state-leading position, 76820 (Doppler ultrasonography for fetal surveillance) is 4.4K claims ($42 avg, $183.7K revenue) and ranks #1 of 10 in-state (100th percentile; notably above typical), indicating stronger-than-typical perinatal imaging activity. Other codes with elevated rank/percentile (e.g., 84703 at 94th percentile) reinforce that this hospital is a notable Medicaid service provider in several diagnostic and obstetric areas.

The NPI tenure suggests an established operation: the provider was enumerated on 2006-09-27 (~20 years ago), and the combination of steady $12M Medicaid revenue with persistent high-volume ED and lab coding implies operational stability focused on Medicaid populations rather than diversified Medicare exposure.

Medicaid: Complete Services Breakdown

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

85 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.	37,190	$70	$2.8M
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.	6,520	$290	$1.9M
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.	41,530	$40	$1.7M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	7,100	$110	$780.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	20,780	$30	$706.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	5,350	$110	$583.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	34,380	$10	$412.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	38,740	$10	$387.4K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	6,290	$60	$377.6K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	5,160	$60	$283.6K

Showing 1–10 of 85

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

Health Care Authority For Baptist Health An Affiliate Of Uabhs — 7 of 25 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	29	70	380	$60	$893.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13	40	1,020	$40	$865.2K
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.	20	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.	38	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.	13	230	5,160	$40	$474.1K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	76	90	500	$40	$303.6K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	5	30	1,030	$40	$254.2K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	3	10	50	$980	$238.7K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	6	100	480	$20	$165.1K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	3	50	380	$90	$157.3K

Showing 1–10 of 85

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore Hematology Oncology Associates PC	NY	Specialist	$0	$61.9M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$16.7M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Internal Medicine Physician	$0	$7.5M
The Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$5.2M
The Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Hematology & Oncology Physician	$0	$1M
Scott Sims	AL	Cardiovascular Disease Physician	$472.4K	$0
James Davies	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$397.7K	$0
Paul Moore	AL	Interventional Cardiology Physician	$387K	$0
Wynne Crawford	AL	Clinical Cardiac Electrophysiology Physician	$384.2K	$0
Amy Cooper	AL	Cardiovascular Disease Physician	$271K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montgomery Pediatric Assoc, P.A.	AL	Pediatric Adolescent Medicine Physician	$0	$8.3M
Tooth Buds At Lagoon Park, LLC	AL	General Practice Dentistry	$0	$7.8M
Smiles From Us, PLLC	AL	Pediatric Dentistry	$0	$5.9M
Dentists 4 Children, L.L.C.	AL	Pediatric Dentistry	$0	$5.7M
Pediatric Specialists Of Montgomery, L.L.C.	AL	Pediatric Cardiology Physician	$0	$5.3M
Alexander Pediatrics LLC	AL	Pediatrics Physician	$0	$4.8M
River Region Psychiatry Associates LLC	AL	Psychiatry Physician	$0	$4.5M
Oral And Maxillofacial Surgery Associates	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$4.4M
East Montgomery Pediatrics LLC	AL	Pediatrics Physician	$0	$3M
Ob-gyn Associates Of Montgomery, P.C.	AL	Obstetrics & Gynecology Physician	$0	$2.6M

Health Care Authority For Baptist Health An Affiliate Of Uabhs — 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