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.

Singing River Health System (NPI 1124136593)

Key Findings

Field	Value
Entity Type	Organization
Organization	Singing River Health System
Address	2809 Denny Ave
City	Pascagoula
State	MS
ZIP	39581
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 27, 2006

Payer Source	Total Paid
Medicaid	$81.1M
Medicare	$0

SINGING RIVER HEALTH SYSTEM is effectively a single‑payer Medicaid provider in the available dataset: total Medicaid revenue is $81.1M and there is no Medicare billing on file. This concentration means analyses of utilization and revenue should be framed against Medicaid policy, rates, and state-level peer behavior rather than Medicare benchmarks.

Revenue is highly concentrated in a small set of emergency and observation services: the precomputed top 3 Medicaid codes (99283, 99284, G0378) account for 41.4% of the provider's total Medicaid revenue. Those three codes individually are 99283: $12.1M (20.5%), 99284: $8M (13.5%), and G0378: $4.3M (7.3%), indicating ED E/M and hospital observation are primary revenue drivers.

The code mix indicates a hospital operating with a high-volume emergency and observation footprint supported by downstream acute care services: high counts for ED E/M codes (99283: 92.6K claims; 99284: 49.5K claims) and observation (G0378: 7.8K claims) are paired with substantial IV/infusion administration codes (96374: 28.1K claims; 96365: 15.5K claims). Imaging and advanced diagnostics appear as adjunct revenue sources (74177, 78815) consistent with an acute care hospital managing high ED throughput.

SINGING RIVER shows an unusually large outpatient rehabilitation and therapy practice embedded in the hospital billing profile: 97530 (133.1K claims, $3.7M, 6.3%) and 97110 (145.8K claims, $3.5M, 5.9%) are both extreme outliers statewide (97530 ranks #2 of 343 providers, 100th percentile; 97110 ranks #1 of 366 providers, 100th percentile). Additional therapy codes such as 97112 (134.3K claims, $3.2M) and speech/hearing 92507 (62.7K claims, $3.4M) further confirm a large rehabilitation service line within the Medicaid business.

Laboratory and infectious disease testing volumes are also notable: COVID and respiratory testing codes appear at high ranks (87635: 19.7K claims, $650.4K, ranks #1 of 254 providers, 100th percentile; U0003: 15.2K claims, $1M, ranks #3 of 56 providers, 96th percentile; 87633: 9.7K claims, $2.7M, ranks #2 of 30 providers, 97th percentile). These patterns suggest the hospital has been a regional testing hub during the COVID era and maintains above-typical lab throughput for respiratory diagnostics.

Statewide competitive positioning is strong for multiple high-revenue codes: 99283 is an extreme outlier (92.6K claims, ranks #3 of 223 providers, 99th percentile) and several therapy and testing codes are at the 100th percentile or near it (97110 #1 of 366, 97530 #2 of 343, 87635 #1 of 254). For payers and competitive analysis, these ranks indicate SINGING RIVER is a dominant Medicaid provider for specific ED, rehab, and testing services within Mississippi.

Despite diversity across ED, observation, therapy, lab, and infusion codes, revenue concentration in a few high-volume ED/observation codes creates strategic sensitivity: the top 3 codes produce 41.4% of Medicaid revenue, so changes in ED utilization patterns, observation billing rules, or state Medicaid reimbursement for those CPTs could materially affect overall revenue. Analysts should prioritize monitoring policy and utilization trends for 99283, 99284, and G0378 when projecting revenue risk or negotiating network arrangements.

The provider has long tenure in public enrollment data (NPI enumerated 2006-08-27, ~20 years ago), which supports interpreting these utilization patterns as established operational behavior rather than a short-term spike. Longstanding presence combined with the high statewide ranks suggests these service-line concentrations are structural features of the organization rather than transient phenomena.

Medicaid: Complete Services Breakdown

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

482 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	92,560	$130	$12.1M
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.	49,460	$160	$8M
G0378	Hospital observation service, per hour	7,850	$550	$4.3M
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.	133,060	$30	$3.7M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	145,810	$20	$3.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	62,660	$50	$3.4M
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	134,320	$20	$3.2M
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…	9,710	$280	$2.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	28,080	$90	$2.5M
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.	8,320	$230	$1.9M

Showing 1–10 of 482

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

Singing River Health System — 15 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

482 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	12	70	1,480	$370	$1.4M
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.	10	230	3,260	$120	$1.4M
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.	3	220	5,690	$100	$1.2M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	3	10	230	$1,730	$1.1M
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.	42	180	3,000	$140	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	5	10	630	$580	$907K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	30	30	70	$1,790	$891.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	9	30	5,050	$120	$762K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	277	280	600	$100	$681.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5	90	4,540	$90	$665.4K

Showing 1–10 of 482

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Singing River Gulfport	MS	General Acute Care Hospital	$0	$24.9M
Singing River Health System	MS	Internal Medicine Physician	$0	$4.8M
Singing River Health System	MS	Multi-Specialty Clinic/Center	$0	$4.4M
Singing River Health System	MS	Rural Health Clinic/Center	$0	$3.5M
Mark Stavros	MS	Emergency Medicine Physician	$15.9K	$1.9M
Elizabeth Herrington	MS	Medical Oncology Physician	$1.9M	$0
Singing River Gulfport	MS	Multi-Specialty Clinic/Center	$0	$1.7M
Joshua Rifkind	MS	Hematology & Oncology Physician	$851.6K	$0
Clifford Tillman	LA	Gastroenterology Physician	$439.4K	$268.7K
Rishi Roy	MS	Vascular Surgery Physician	$671K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$11.5M
Emergency Room Group Ltd	MS	Emergency Medicine Physician	$0	$9.8M
Childrens Clinic Of Pascagoula PLLC	MS	Pediatrics Physician	$0	$9.5M
Edward Brown	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.3M
Daniel Enger	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.1M
Pediatric Care Center, P.L.L.C.	MS	Pediatrics Physician	$0	$3.9M
Gulf Coast Ob/gyn, PA	MS	Obstetrics & Gynecology Physician	$0	$1.6M
Premier Eye Clinic , PLLC	MS	Optometrist	$0	$1.2M
Pain Consultants Asc LLC	MS	Ambulatory Surgical Clinic/Center	$841.2K	$0
Mahmoud Zayed	MS	Cardiovascular Disease Physician	$581.1K	$0

Singing River Health System — Billing Profile & Reimbursement Data

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Singing River Health System — 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