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.

Cullman Regional Medical Center, Inc (NPI 1114919339)

Cullman Regional Medical Center, Inc is a general acute care hospital provider located in Cullman, Alabama. This profile covers 0 Medicare and 116 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	Cullman Regional Medical Center, Inc
Address	1912 Al Highway 157
City	Cullman
State	AL
ZIP	35058
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 16, 2005

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

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

116 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.	34,190	$70	$2.2M
87633	The 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…	7,880	$220	$1.7M
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.	29,320	$40	$1.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3,330	$70	$242.7K
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.	23,530	$10	$235.3K
74177	The 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.	1,280	$160	$201.1K
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…	24,970	$10	$199.8K
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.	2,310	$90	$198.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	12,580	$10	$125.8K
87081	The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.	13,070	$10	$117.6K

Showing 1–10 of 116

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

Cullman Regional Medical Center, Inc — 4 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87633	The 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…	11	100	470	$130	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26	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.	22	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.	85	190	1,480	$100	$730.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	30	40	450	$20	$591.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	31	40	460	$20	$584.1K
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.	20	230	5,160	$40	$474.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	18	40	430	$10	$391.5K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	92	90	500	$40	$303.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	31	60	320	$130	$176.1K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Davis	AL	Diagnostic Radiology Physician	$530.7K	$0
Jeremy Stidham	AL	Internal Medicine Physician	$257.5K	$0
Benjamin Rogers	AL	Internal Medicine Physician	$171.2K	$0
Joel Raborn	AL	Diagnostic Radiology Physician	$127.8K	$0
Joseph Eason	AL	Vascular & Interventional Radiology Physician	$113.6K	$0
Scott Thompson	AL	Diagnostic Radiology Physician	$104.3K	$0
Julian Druhan	AL	Diagnostic Radiology Physician	$98K	$0
Marc Chitty	AL	Diagnostic Radiology Physician	$97.5K	$0
Theodore Baker	AL	Diagnostic Radiology Physician	$95.9K	$0
Ryan Buckner	TN	Diagnostic Radiology Physician	$88.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Island Medical Alabama LLC	AL	Emergency Medicine Physician	$0	$3.1M
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

Cullman Regional Medical Center, Inc — 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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