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.

State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527)

Field	Value
Entity Type	Organization
Organization	State Of Mississippi - University Of Mississippi Medical Center
Address	2500 N State St
City	Jackson
State	MS
ZIP	39216
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 21, 2005

Payer Source	Total Paid
Medicaid	$507.2M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (listed as "none" for Total Medicare revenue) and $507.2M in lifetime Medicaid revenue, making its active billing footprint effectively single-payer with Medicaid as the dominant source of recorded revenue. The NPI was enumerated on 2005-09-21 (~21 years ago), indicating long-term presence in the market but with current data reflecting heavy Medicaid activity rather than Medicare engagement.

Revenue concentration is high within a narrow set of Medicaid codes: the top 3 Medicaid codes by revenue account for 34.2% of this provider's total Medicaid revenue. Those top three are 99284 ($36.3M, 14.1%), G0378 ($27.4M, 10.6%), and 99283 ($24.5M, 9.5%), signaling that emergency and observation services are major revenue drivers.

The code mix points to a large, acute-care operational footprint centered on emergency and observation services: 99284, 99283 and 99285 together represent substantial ED volume and revenue (99284 at $36.3M, 99283 at $24.5M, 99285 at $24.3M). Coupled with 42.3K claims for G0378 (Hospital observation service, per hour) and high-volume inpatient subsequent care codes such as 99232 and 99233, the pattern is consistent with a provider that manages high ED throughput and significant observation-to-inpatient flow.

Competitive standing within Mississippi is dominant for many high-revenue Medicaid codes: the provider ranks #1 and at the 100th percentile in-state for numerous top items including 99284, G0378, 99283, 99285, 99214, and multiple imaging and procedure codes. The platform’s supplied descriptors label these as "extreme outlier" or "notably above typical state volume," which supports characterizing the provider as a statewide hub for emergency, observation, and specialty procedures rather than a modest contributor.

Specialty and procedural services contribute materially to Medicaid revenue beyond ED care: high-dollar drug and oncology billing appears via J9271 (pembrolizumab) at $12.3M and chemotherapy administration codes such as 96413 ($4.4M) and infusion code 96374 ($4.3M). These entries, many ranked #1 in-state, indicate substantial oncology infusion activity alongside the acute-care volume.

Pediatric and neonatal critical care are prominent lines: surgical procedures for children such as 42820 (tonsillectomy/adenoidectomy) at $14.2M and tympanostomy 69436 at $8.6M appear near the top of the revenue list, and neonatal critical care codes 99469 ($5.3M) and 99472 ($4.9M) are reported with very high state rankings. These volumes suggest the provider maintains extensive pediatric surgical and neonatal intensive services under Medicaid.

Imaging and diagnostic throughput is also a major component of the Medicaid mix, with leading in-state volumes for transthoracic echocardiography (93306 $7.6M, 93303 $6.4M), brain MRI 70553 ($4.6M), and CT abdomen/pelvis 74177 ($3.1M). The combination of high-volume ED care and advanced imaging/procedure throughput supports the characterization of this entity as a full-service acute hospital with integrated diagnostic capacity.

State-level service concentration is further underscored by niche codes where the provider ranks top in Mississippi: examples include specialized lab work (86902 $6.1M, 86885 $3.4M), high-acuity transport A0431 ($3.3M), and high-complexity E/M visits (99215 $5.4M). Across these codes the dataset’s percentile and outlier labels consistently indicate the provider operates at far higher Medicaid volumes than typical in-state peers, reinforcing its competitive dominance in multiple acute and specialty service lines.

Medicaid: Complete Services Breakdown

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

1278 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.	206,020	$180	$36.3M
G0378	Hospital observation service, per hour	42,330	$650	$27.4M
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.	240,280	$100	$24.5M
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.	105,130	$230	$24.3M
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…	355,810	$60	$19.6M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	6,390	$2,220	$14.2M
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…	323,000	$40	$12.9M
J9271	Injection, pembrolizumab, 1 mg	1,990	$6,160	$12.3M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	10,980	$780	$8.6M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	53,110	$140	$7.6M

Showing 1–10 of 1278

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

State Of Mississippi - University Of Mississippi Medical Center — 24 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

1278 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	1	10	20,840	$240	$4.9M
20680	Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…	1	10	1,670	$1,360	$2.3M
J2323	Injection, natalizumab, 1 mg	1	10	1,130	$1,930	$2.2M
J9271	Injection, pembrolizumab, 1 mg	1	10	390	$3,870	$2M
86902	The lab analyst performs an antigen test to screen a potential donor blood unit using reagent serum for possible reactive antigens by mixing part of the unit with serum from the recipient patient.	1	10	170	$290	$2M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	40	50	4,400	$160	$1.9M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	1	10	4,210	$260	$1.5M
G0378	Hospital observation service, per hour	1	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.	1	230	3,260	$120	$1.4M
81229	The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by…	1	10	2,920	$450	$1.3M

Showing 1–10 of 1278

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi-university Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$17.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$13.9M
State Of Mississippi- University Of Mississippi Medical Center	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
State Of Mississippi-university Of Mississippi Medical Center	MS	Rural Health Clinic/Center	$0	$4.9M
Amanda Fowler	MS	Rheumatology Physician	$3.4M	$0
Mitchell Gruich	MS	Pediatrics Physician	$0	$2.3M
Sahdev Saharan	CA	Rheumatology Physician	$1.5M	$674K
State Of Mississippi-university Of Mississippi Medical Center	MS	Family Medicine Physician	$0	$2M
Molly Sullivan	MS	Family Nurse Practitioner	$1.9M	$0

Nearby Providers

Other providers in the same ZIP code as State Of Mississippi - University Of Mississippi Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Ms. Planning & Dev. District, Inc.	MS	Case Management Agency	$0	$47.2M
St Dominic-jackson Memorial Hospital	MS	General Acute Care Hospital	$0	$37.1M
Afnb Home Care LLC	MS	In Home Supportive Care Agency	$0	$25.6M
Ms Children's Home Society	MS	Community/Behavioral Health Agency	$0	$19.4M
Mississippi State Department Of Health	MS	Community/Behavioral Health Agency	$0	$14.9M
Ms State Department Of Health	MS	Community/Behavioral Health Agency	$0	$14.5M
Guangzhi Qu	MS	Hematology & Oncology Physician	$9.1M	$0
Mississippi Asthma & Allergy Clinic PA	MS	Allergy & Immunology Physician	$0	$8.2M
Mississippi Methodist Hospital & Rehabilitation Center, Inc.	MS	General Acute Care Hospital	$0	$5.7M
Jerrick Rose	MS	Pediatric Dentistry	$0	$4.6M

State Of Mississippi - University Of Mississippi Medical Center — 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