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.

Natchez Hospital Company LLC (NPI 1164821559)

Key Findings

Field	Value
Entity Type	Organization
Organization	Natchez Hospital Company LLC
Address	54 Sergeant Prentiss Dr
City	Natchez
State	MS
ZIP	39120
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 21, 2014

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Natchez Hospital Company LLC appears effectively single-payer in the available data, with no Medicare billing on file and Total Medicaid revenue of $17.5M; this means Medicaid entirely accounts for the facility’s documented programmatic revenue and should be the focus for payer/provider analysts evaluating service volume and reimbursement exposure.

Emergency department E/M codes dominate the provider’s Medicaid mix: 99283 ($4.5M, 29.3% of Medicaid revenue), 99284 ($2.6M, 17.0%), and 99285 ($1.1M, 7.1%) together account for 53.4% of this provider’s Medicaid revenue, indicating that ED visits are the principal revenue driver and that the hospital’s operations are heavily weighted toward acute unscheduled care.

The facility’s code mix beyond ED E/Ms reinforces an acute care and observation profile: significant revenue from observation hours (G0378, $628.4K), CT imaging (74176, 74177), head CT (70450), and a range of infusion/injection codes (96365, 96372, 96374, 96361) suggests on-site diagnostic imaging, emergency-based procedures, and outpatient/observation infusion services are core capabilities.

Competitive standing in-state is generally typical rather than dominant for most high-volume codes. While Natchez ranks in strong percentiles for several high-volume services (for example 99283 at the 89th percentile and 99284 at the 77th percentile), those ranks are characterized in the source as “typical, unremarkable volume” for this code set, indicating the hospital is a solid regional ED provider but not an extreme outlier except where noted.

There is one clear statistical outlier in the Medicaid technical lab codes: 87400 (influenza antigen testing) is ranked #1 of 91 providers in-state and labeled an "extreme outlier, far above typical state volume," signaling an unusually high volume of rapid influenza testing relative to peers and suggesting either a large on-site ED/lab throughput for respiratory diagnostics or a local testing role that far exceeds similar hospitals. Analysts should investigate whether that volume is episodic (e.g., seasonal surges) or sustained.

Volume metrics indicate a broad service footprint: very high claim counts for diagnostic panels and monitoring—e.g., 80053 (21.9K claims), 85025 (30.2K claims), and 93005 (12.1K claims)—show steady lab and ECG throughput that supports ED and inpatient care without corresponding Medicare activity. These high test counts align with the ED/acute profile implied by the dominant E/M codes.

Tenure is long enough to establish continuity: the provider’s NPI was enumerated on 2014-08-21 (~12 years ago), indicating over a decade of enrollment in federal programs which provides a moderate historical record for analyses of utilization trends and peer comparisons.

Given the absence of Medicare billing, payer-mix risk is concentrated in Medicaid reimbursement and state program policy changes; any shifts in Medicaid rates, coverage, or managed care network inclusion could disproportionately affect this facility’s financial performance because Medicaid accounts for all reported program revenue in the dataset.

Medicaid: Complete Services Breakdown

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

171 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.	30,020	$150	$4.5M
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.	14,350	$180	$2.6M
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.	5,330	$210	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	21,140	$40	$761.2K
G0378	Hospital observation service, per hour	1,570	$400	$628.4K
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.	7,520	$80	$616.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,830	$80	$519.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	8,040	$50	$425.9K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	4,360	$90	$392.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	10,710	$30	$364K

Showing 1–10 of 171

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

Natchez Hospital Company LLC — 1 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

171 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	35	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.	53	230	3,260	$120	$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.	26	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.	59	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.	34	90	4,540	$90	$665.4K
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.	24	90	2,110	$80	$325.8K
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.	53	110	1,250	$110	$311.6K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	24	30	190	$360	$295K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	49	220	1,590	$50	$291.3K
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.	25	150	2,200	$70	$280.7K

Showing 1–10 of 171

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heart2heart Homecare Services, Inc.	MS	In Home Supportive Care Agency	$0	$70.5M
Southwest Mississippi Planning And Development District	MS	Case Management Agency	$0	$37.9M
Metro Ambulance Service Rural Inc	MS	Ambulance	$4.6M	$16.5M
J H Fairbanks Md PLLC	LA	Orthopaedic Surgery Physician	$0	$5.7M
Natchez Pediatric Clinic PLLC	MS	Pediatric Adolescent Medicine Physician	$0	$4.8M
David Alan Timm	MS	Rural Health Clinic/Center	$0	$4.2M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.8M
Miss-lou Ambulance Service LLC	MS	Land Ambulance	$408.4K	$3M
Key Rehab Associates, Inc.	MS	Physical Therapist	$0	$2.9M
David Alan Timm	MS	Rural Health Clinic/Center	$0	$2.5M

Natchez Hospital Company LLC — 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

Nearby Providers

Frequently Asked Questions

References