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.

Hh Health System - Athens Limestone, LLC (NPI 1144695081)

Hh Health System - Athens Limestone, LLC is a general acute care hospital provider located in Athens, Alabama. This profile covers 0 Medicare and 94 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	Hh Health System - Athens Limestone, LLC
Address	700 W Market St
City	Athens
State	AL
ZIP	35611
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 3, 2015

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

94 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.	16,800	$60	$923.7K
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.	18,950	$30	$587.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	12,950	$30	$414.3K
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.	21,770	$10	$174.2K
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…	22,430	$10	$157K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	1,580	$40	$58.5K
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…	5,280	$10	$42.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	2,760	$10	$38.7K
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…	730	$50	$36.3K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	16,860	$1	$33.7K

Showing 1–10 of 94

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

Hh Health System - Athens Limestone, LLC — 1 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

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	53	60	1,260	$60	$1.2M
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…	92	100	470	$130	$1.2M
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…	26	70	380	$60	$893.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	39	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.	50	240	4,820	$60	$807.6K
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.	42	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…	30	40	430	$10	$391.5K
87581	The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.	43	40	1,440	$20	$372.1K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	84	90	500	$40	$303.6K
87486	The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…	37	40	2,000	$20	$273.5K

Showing 1–10 of 94

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Baker	AL	Diagnostic Radiology Physician	$963.3K	$0
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Theodros Mengesha	AL	Neurology Physician	$186.1K	$0
Paul Fry	AL	Diagnostic Radiology Physician	$136.9K	$0
Stephanie Jiminez	AL	Diagnostic Radiology Physician	$135.8K	$0
Alex Johnson	AL	Vascular & Interventional Radiology Physician	$116.5K	$0
Philip Chapman	AL	Neuroradiology Physician	$81.1K	$0
Ernest Hendrix	AL	Family Medicine Physician	$54.5K	$0
Raman Kansal	PA	Diagnostic Radiology Physician	$10.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$6.3M
Central Pediatrics Inc.	AL	Preferred Provider Organization	$0	$4.1M
Athens Limestone Health Services, LLC	AL	Ambulance	$1M	$1.2M
Athens-limestone Er Physicians	AL	Emergency Medicine Physician	$0	$1.7M
Pathways Speech Therapy, Inc.	AL	Speech-Language Pathologist	$0	$985.9K
Limestone County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$936.3K
R Hill	AL	Specialist	$333.6K	$0
Cassidy Koonce	AL	Surgery Physician	$281K	$0
Nauman Qureshi	AL	Specialist	$263K	$0
Crystal Walker	AL	Cardiovascular Disease Physician	$194.6K	$0

Hh Health System - Athens Limestone, LLC — Billing Profile & Reimbursement Data

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Hh Health System - Athens Limestone, LLC — 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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