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.

Monroe Health Services, Inc. (NPI 1164993457)

Monroe Health Services, Inc. is a general acute care hospital provider located in Amory, Mississippi. This profile covers 0 Medicare and 181 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	Monroe Health Services, Inc.
Address	1105 Earl Frye Blvd.
City	Amory
State	MS
ZIP	38821
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 11, 2018

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

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

181 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.	17,610	$200	$3.5M
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.	20,310	$140	$2.9M
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.	6,410	$230	$1.5M
G0378	Hospital observation service, per hour	3,030	$460	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,590	$100	$736.2K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	9,630	$50	$510.1K
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…	4,060	$100	$421.9K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6,910	$60	$414.5K
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.	2,210	$170	$371.1K
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…	8,830	$40	$353.1K

Showing 1–10 of 181

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

Monroe Health Services, Inc. — 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

181 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	28	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.	46	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.	46	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.	46	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.	31	90	4,540	$90	$665.4K
86885	The lab analyst performs an indirect antihuman globulin test, also called a Coombs test, to determine whether antibodies are present in patient serum.	9	10	3,070	$70	$467.6K
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.	31	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.	44	110	1,250	$110	$311.6K
D7240	N/A	29	40	560	$190	$294.5K
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…	132	220	1,590	$50	$291.3K

Showing 1–10 of 181

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Mississippi Medical Clinics Inc	MS	Internal Medicine Physician	$0	$16.9M
William Carroll	MS	Cardiovascular Disease Physician	$1.1M	$0
John Estess	MS	Cardiovascular Disease Physician	$953.3K	$0
Marion Regional Medical Center, Inc.	AL	General Acute Care Hospital	$0	$917.1K
William Calhoun	MS	Cardiovascular Disease Physician	$861.1K	$0
Douglas Hill	MS	Cardiovascular Disease Physician	$777.8K	$0
James Johnson	MS	Cardiovascular Disease Physician	$708.5K	$0
Barry Bertolet	MS	Cardiovascular Disease Physician	$667.9K	$0
Nelson Little	MS	Cardiovascular Disease Physician	$597.2K	$0
Leonil Gan Lim	MS	Endocrinology, Diabetes & Metabolism Physician	$413.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
P & S Clinic Ob-gyn PLLC	MS	Obstetrics & Gynecology Physician	$0	$13M
Relias Emergency Medicine Specialists Of Amory, LLC	MS	Emergency Medicine Physician	$0	$1.8M
Steve Randle	MS	Optometrist	$74.7K	$350.7K
Richard Cole	MS	Diagnostic Radiology Physician	$244.7K	$0
Gerald Parker	MS	Family Medicine Physician	$200.3K	$0
William Mccomb	MS	Internal Medicine Physician	$193.8K	$0
Jeremy Sims	MS	Physical Therapist	$181.7K	$0
Harold Thomas	MS	Internal Medicine Physician	$174K	$0
Amanda Kennedy	MS	Primary Care Clinic/Center	$171.5K	$0
Alison Harris	MS	Nurse Practitioner	$122.7K	$0

Monroe Health Services, Inc. — Billing Profile & Reimbursement Data

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Monroe Health Services, Inc. — 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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