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.

Southwest Mississippi Regional Medical Center (NPI 1144873910)

Field	Value
Entity Type	Organization
Organization	Southwest Mississippi Regional Medical Center
Address	1318 Harrison Ave
City	Mccomb
State	MS
ZIP	39648
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 22, 2019

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	10,480	$90	$890.8K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	4,100	$100	$422.2K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	1,550	$90	$142.9K
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…	700	$110	$75.6K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2,650	$20	$63.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	850	$50	$44K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	450	$80	$36.5K
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…	14,700	$1	$29.4K
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,…	710	$30	$19.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	5,680	$1	$17K

Showing 1–10 of 24

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

Southwest Mississippi Regional Medical Center — 1 of 24 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

24 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…	224	1,910	930	$60	$278.7K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	31	120	1,480	$90	$263.1K
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…	844	1,670	720	$50	$196.4K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	43	120	890	$90	$145.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	32	80	520	$60	$100.8K
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,…	219	670	230	$60	$89.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	128	750	400	$20	$52.5K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	73	130	280	$60	$47.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	16	80	90	$110	$44.7K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	62	80	180	$60	$36.3K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Mississippi Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Mississippi Regional Medical Center	MS	General Acute Care Hospital	$0	$46.6M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Southwest Mississippi Regional Medical Center	MS	Critical Access Hospital	$0	$2.6M
Southwest Mississippi Regional Medical Center	MS	Rural Health Clinic/Center	$0	$1.2M
Gary Jones	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$829.4K	$0
Fisher Covin	MS	Cardiovascular Disease Physician	$303.2K	$0
Ronald Delrie	MS	Hematology & Oncology Physician	$291.9K	$0
Samuel Johnson	MS	Specialist	$276.2K	$0
Robert Dewitt	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$269.1K	$0
Paul Dykes	MS	Nephrology Physician	$239.6K	$0

Nearby Providers

Other providers in the same ZIP code as Southwest Mississippi Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mccomb Children's Clinic, Ltd	MS	Pediatrics Physician	$0	$13.2M
Sw Ms Mental Health Mental Retardation Commission	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Southwest Mississippi Mental Health Mental Retardation Commission	MS	Social Worker	$0	$5M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
The Summit Health & Rehab Services, Inc	MS	Physical Therapist	$0	$3.1M
Mississippi Dentistry For Children, Inc	MS	Pediatric Dentistry	$0	$2.8M
Lauren Jones	MS	Pediatric Dentistry	$0	$2.5M
Dween Muse	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.7M
Angel Wings Personal And Respite Care Home	MS	Respite Care	$0	$1.5M
Med-trans Corporation	MS	Air Ambulance	$591.6K	$714.8K

Southwest Mississippi Regional Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References