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.

University Of South Alabama (NPI 1114387206)

Field	Value
Entity Type	Organization
Organization	University Of South Alabama
Address	1700 Center St
City	Mobile
State	AL
ZIP	36604
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	March 2, 2016

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Key Findings

UNIVERSITY OF SOUTH ALABAMA has no Medicare billing on file and is effectively a single-payer Medicaid provider in this dataset, with all reported lifetime revenue coming from Medicaid and totaling $11.6M. This absence of Medicare activity indicates the provider’s operational footprint and revenue dependence are concentrated in Medicaid-covered neonatal services rather than in dual Medicare/Medicaid service lines.

Clinical service mix is heavily neonatal and NICU-focused: the top Medicaid codes are 99469, 99472, and 99479 which together account for 78.1% of the provider’s Medicaid revenue. Code descriptions show the provider primarily delivers subsequent and follow-up critical care of newborns and management of low birth weight infants, consistent with a specialized neonatal-perinatal medicine practice rather than general pediatrics or adult inpatient care.

Revenue concentration is high: a single code, 99469, generates $3.9M (33.3% of Medicaid revenue) while the top three codes together make up 78.1% of the $11.6M total. This level of concentration around a small set of neonatal critical-care and low-birth-weight care codes suggests that the provider’s financial performance is tightly coupled to volume in intensive newborn care and related follow-up services.

Competitive standing within Alabama is solid but not dominant on its core neonatal codes. For the largest revenue codes, the provider typically ranks around the mid-to-high percentiles in-state (e.g., 99469 ranks #4 of 13 at the 75th percentile; 99472 ranks #4 of 12 at the 73rd percentile; 99479 ranks #4 of 14 at the 77th percentile), indicating it is a meaningful regional participant with typical, unremarkable volumes for these services compared with peers rather than an outlier leader.

There are specific above-typical volumes for certain ancillary newborn codes: 99462 (subsequent E/M of a normal newborn) is reported as “notably above typical state volume,” where the provider ranks #4 of 64 and is in the 95th percentile. This suggests heavier-than-typical follow-up activity for routine newborn care in addition to its critical-care mix, which could reflect institutional workflows that route postoperative or recovering infants through the same specialty team.

Most other billed Medicaid codes show typical state volume positions, often with mid-to-high percentile ranks but not extreme positions. Examples include 99480 (70th percentile), 99460 (94th percentile), and 99238 (95th percentile), supporting the view that the provider consistently participates across a range of neonatal inpatient E/M services without being a statewide outlier on these lines.

Service-level pricing intensity varies across codes: high-average paid-per-claim values appear for intensive initial critical-care codes like 99468 ($1096 avg paid/claim) and for follow-up codes such as 99472 ($486 avg paid/claim) and 99469 ($447 avg paid/claim), which together drive the majority of Medicaid revenue. Lower per-claim averages for high-claim-volume recovery codes such as 99479 ($150 avg paid/claim) highlight that both high-acuity, higher-paid encounters and high-volume lower-paid recovery management contribute materially to overall Medicaid revenue.

Provider tenure is established but not long-tenured relative to many academic programs: the NPI was enumerated on 2016-03-02 (approximately 10 years ago). That decade of recorded Medicaid activity is consistent with building a stable neonatal service line that captures substantial state Medicaid volumes without parallel Medicare billing presence.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	8,670	$450	$3.9M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	7,060	$490	$3.4M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	11,830	$150	$1.8M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	5,340	$150	$778.9K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	4,430	$130	$558.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	4,740	$90	$445.8K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	6,030	$50	$319.5K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	230	$1,100	$256.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	530	$130	$69.2K
99478	The provider directs the care of a recovering low birthweight infant, whose current weight is less than 1500 grams.	340	$150	$52K

Showing 1–10 of 12

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

University Of South Alabama — 2 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	4	10	140	$480	$4.8M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4	10	1,820	$350	$3.2M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	10	3,160	$110	$1.7M
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	6	10	240	$850	$851.2K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	4	10	3,260	$80	$701.3K
99478	The provider directs the care of a recovering low birthweight infant, whose current weight is less than 1500 grams.	3	10	1,420	$140	$254.3K
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…	140	250	420	$50	$133K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	6	80	220	$70	$103.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	11	200	170	$50	$60.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	93	240	130	$80	$46.1K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of South Alabama, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$87.5M
University Of South Alabama	AL	Children's Hospital	$0	$24.8M
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
Osama Abdul-rahim	TX	Vascular & Interventional Radiology Physician	$1.5M	$0
University Of South Alabama	AL	Body Imaging Physician	$0	$1.1M
Robert Gilbert	AL	Radiation Oncology Physician	$528K	$0
Mina Jacob	AL	Vascular Surgery Physician	$325.9K	$0

Nearby Providers

Other providers in the same ZIP code as University Of South Alabama, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usa Health Physician Billing Services LLC	AL	Neonatal-Perinatal Medicine Physician	$0	$28.2M
Usa Health Physician Billing Services LLC	AL	Pediatrics Physician	$0	$11M
University Of South Alabama	AL	Case Management Agency	$0	$8M
Usa Health Physician Billing Services LLC	AL	Obstetrics & Gynecology Physician	$0	$6.3M
University Of South Alabama	AL	Pediatrics Physician	$0	$3.4M
Usa Health Physician Billing Services LLC	AL	Orthopaedic Surgery Physician	$0	$2.6M
Usa Health Physician Billing Services LLC	AL	Hospitalist Physician	$0	$2.3M
Usa Health Physician Billing Services LLC	AL	Neurology Physician	$0	$2.1M
Usa Health Physician Billing Services LLC	AL	Pediatric Gastroenterology Physician	$0	$2.1M
Vital Smiles Alabama, P.C.	AL	General Practice Dentistry	$0	$1.7M

University Of South Alabama — 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