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.

Oktibbeha County Hospital (NPI 1154310514)

Field	Value
Entity Type	Organization
Organization	Oktibbeha County Hospital
Address	400 Hospital Rd
City	Starkville
State	MS
ZIP	39759
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	October 18, 2005

Payer Source	Total Paid
Medicaid	$19.8M
Medicare	$0

Key Findings

OKTIBBEHA COUNTY HOSPITAL operates effectively as a Medicaid-centric provider: there is no Medicare billing on file while total Medicaid revenue is $19.8M, indicating the hospital’s measurable commercial/Medicare exposure is minimal and its financial footprint in the available claims data is driven by Medicaid. This makes the provider functionally single-payer in the dataset provided, which is important context for network and payment strategy analyses focused on Medicaid.

Revenue is highly concentrated in emergency department E/M codes: 99283 generated $4.2M (25.4% of Medicaid revenue), 99284 generated $3.6M (22.3%), and 99285 generated $1.2M (7.5%); these three codes together account for 55.2% of the provider’s total Medicaid revenue. This concentration implies that a majority of billings and payments are tied to ED visit intensity and suggests sensitivity of overall revenue to ED volume and case mix.

The code mix points to a core operational profile of emergency care with on-site imaging and observation services: dominant codes 99283/99284/99285 are complemented by observation billing G0378 ($442.9K, 2.7%), CT abdomen/pelvis 74177 ($614.3K, 3.8%), and CT head 70450 ($283.3K, 1.7%), indicating the hospital manages acute presentations and leverages diagnostic imaging and short-term observation as part of throughput. These patterns are consistent with the facility’s taxonomy as a Rural Acute Care Hospital.

Competitive standing on ED volume is modest-to-moderate within the state: 99283 ranks #27 of 223 in-state (88th percentile; typical, unremarkable volume for this code), 99284 ranks #43 of 227 (81th percentile; typical, unremarkable volume for this code), and 99285 ranks #58 of 175 (67th percentile; typical, unremarkable volume for this code). While the hospital posts substantial absolute ED revenue, the rank/percentile context shows it is not a statewide outlier for ED services but a solid participant at typical state volumes.

The hospital shows notable strength in specific procedural and infusion-related services relative to peers: debridement 11042 generated $972.5K (6.0%) and ranks #3 of 72 in-state (97th percentile; notably above typical state volume for this code), and injection code 96372 generated $414.8K (2.5%) and ranks #36 of 751 (95th percentile; notably above typical state volume for this code). These high-percentile placements indicate pockets of above-typical procedural throughput (wound care and injectable therapies) that are meaningful complements to the ED-dominant revenue base.

Some high-ranking codes occur in very small peer populations and should be interpreted cautiously: 31276 produced $189.4K (1.2%) and is listed as rank #1 of 2 in-state (100th percentile; typical, unremarkable volume for this code), suggesting that while the provider leads a very limited field for this procedure, the absolute claim count (37) is low and the competitive signal is narrow. Analysts should treat such top ranks among few providers as a different category of competitive insight than high ranks in broad-service codes.

Ancillary and maternal services contribute meaningfully to the revenue mix and support a broad rural-service footprint: fetal monitoring 59025 produced $374.9K (2.3%) and ranks #10 of 79 (88th percentile; typical, unremarkable volume), while chest x-ray 71045 ($340.2K, 2.1%) and basic labs (85025, $151.3K, 0.9%) show the hospital provides routine imaging and laboratory services that align with inpatient/ED follow-up and obstetric support. These lines help diversify Medicaid revenue beyond ED E/M intensity.

The provider has an established presence in the NPI registry (enumerated 2005-10-18, ~21 years ago), reinforcing that the patterns above reflect a long-tenured rural acute care operation rather than a newly opened facility; combined with the Medicaid revenue concentration and ED-heavy code mix, this tenure suggests entrenched local referral and utilization patterns that payers and competitive analysts should factor into network planning and case-mix forecasting.

Medicaid: Complete Services Breakdown

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

205 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.	29,480	$140	$4.2M
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.	18,280	$200	$3.6M
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.	5,500	$220	$1.2M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	9,920	$100	$972.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,730	$80	$641.7K
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.	3,410	$180	$614.3K
D2930	N/A	8,170	$60	$465.6K
G0378	Hospital observation service, per hour	1,420	$310	$442.9K
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…	11,520	$40	$414.8K
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.	4,930	$80	$413.8K

Showing 1–10 of 205

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

Oktibbeha County Hospital — 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

205 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	47	50	4,400	$160	$1.9M
G0378	Hospital observation service, per hour	37	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.	43	230	3,260	$120	$1.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	33	40	2,590	$160	$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.	27	220	5,690	$100	$1.2M
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.	58	180	3,000	$140	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29	90	4,540	$90	$665.4K
A0425	Ground mileage, per statute mile	41	50	5,330	$30	$618.3K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	3	10	90	$940	$428.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	39	90	2,110	$80	$325.8K

Showing 1–10 of 205

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oktibbeha County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oktibbeha County Hospital	MS	Registered Dietitian	$0	$1.9M
Harry Holliday	MS	Pulmonary Disease Physician	$91.5K	$0
Candace Dunlap	MS	Adult Health Nurse Practitioner	$37.5K	$0
Dallas Butts	MS	Emergency Medical Services (Emergency Medicine) Physician	$30.6K	$0
John Maples	MS	Emergency Medicine Physician	$23.1K	$0
Kimberly Yeatman	MS	Registered Dietitian	$1.6K	$0

Nearby Providers

Other providers in the same ZIP code as Oktibbeha County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Triangle Planning & Development District Inc	MS	Case Management Agency	$0	$25.9M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$16.1M
Starkville Pediatric Clinic	MS	Pediatrics Physician	$0	$6M
Golden Triangle Planning & Development District Inc	MS	Homemaker	$0	$5.1M
Hometown Healthcare Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Ot 4 Kidz, LLC	MS	Occupational Therapist	$0	$4.4M
Children's Rehab	MS	Physical Therapy Clinic/Center	$0	$3.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$3.7M
Speech Therapy For Kids, LLC	MS	Speech-Language Pathologist	$0	$3.3M
Starkville Pediatric Dentistry	MS	Pediatric Dentistry	$0	$3.2M

Oktibbeha County Hospital — Billing Profile & Reimbursement Data

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Oktibbeha County Hospital — 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