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 1134283419)

Singing River Health System is a internal medicine physician provider located in Pascagoula, Mississippi. This profile covers 0 Medicare and 58 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	Singing River Health System
Address	2809 Denny Ave
City	Pascagoula
State	MS
ZIP	39581
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	24,230	$40	$993.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	22,000	$40	$967.8K
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…	11,880	$50	$629.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	18,820	$30	$583.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,340	$70	$295.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,040	$60	$292.6K
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…	3,690	$70	$243.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	2,600	$70	$169.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,070	$70	$148.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	6,170	$20	$117.3K

Showing 1–10 of 58

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 — 2 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	102	1,910	930	$60	$278.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	40	170	1,210	$90	$275K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	66	220	470	$90	$212.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	267	1,670	720	$50	$196.4K
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…	5	130	320	$30	$139.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	37	160	710	$30	$119.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	115	220	910	$20	$103.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15	280	680	$20	$102K
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…	37	80	260	$90	$99.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	490	670	230	$60	$89.5K

Showing 1–10 of 58

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Singing River Health System	MS	General Acute Care Hospital	$0	$81.1M
Singing River Gulfport	MS	General Acute Care Hospital	$0	$24.9M
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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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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