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.

Baptist Memorial Hospital-desoto, Inc, (NPI 1194789818)

Key Findings

Field	Value
Entity Type	Organization
Organization	Baptist Memorial Hospital-desoto, Inc,
Address	7601 Southcrest Pkwy
City	Southaven
State	MS
ZIP	38671
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 12, 2006

Payer Source	Total Paid
Medicaid	$41.6M
Medicare	$0

This facility is effectively single‑payer in the available data: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $41.6M, indicating the provider’s reimbursement activity in the dataset is concentrated entirely in Medicaid. That asymmetric payer footprint will shape any payer-contracting or utilization comparisons since there is no Medicare line of business to benchmark against.

Revenue concentration is high in emergency department evaluation-and-management services: the top three Medicaid codes 99284 ($7.2M), 99285 ($5.7M), and 99283 ($3.5M) together account for 48.7% of the provider’s Medicaid revenue. This precomputed top‑3 share makes ED visits the dominant revenue driver and signals that a relatively small set of ED-related codes produces nearly half of Medicaid receipts.

The code mix indicates a hospital operating with a busy, high-acuity emergency department and short-term observation capacity. High revenue from 99285 and 99284, combined with G0378 (9.2K claims, $3.1M, ranks #8 of 72, 90th percentile), points to frequent moderate‑to‑high acuity ED care plus observation-hours billing rather than elective inpatient volume.

Several services appear at statewide high percentiles, supporting the view of a major regional ED and diagnostic center: 99285 is in the 94th percentile and described as notably above typical state volume, 99284 is in the 94th percentile (typical volume), and 99283 is in the 86th percentile (typical volume). Imaging and diagnostic codes such as 78452 (3.4K claims, $1.1M) and 93005 (29K claims, $522.6K) also rank in the 90s percentiles, indicating the provider is a leading state performer for particular cardiac imaging and EKG volumes.

The provider shows extreme or notable outlier behavior on several high-frequency outpatient items that reflect throughput and procedural intensity: 80053 CMP (76.6K claims, $459.8K) ranks #6 of 226 (98th percentile, notably above typical), U0002 COVID testing (14.8K claims, $415.3K) ranks #3 of 85 (98th percentile, extreme outlier), and 96372 injections (27.2K claims, $761.7K) ranks #12 of 751 (99th percentile, extreme outlier). These large claim counts with modest per-claim payments are consistent with a high-volume ED and outpatient testing/infusion operation.

The provider records substantial infusion, IV medication, and related therapeutic activity: 96374 (20.4K claims, $1.5M), 96375 (21.1K claims, $485.3K), 96365 (8.2K claims, $598.2K), and 96361 (13.6K claims, $760.4K) all appear in the top code list and often sit in high state percentiles. This pattern suggests a steady operational emphasis on IV treatments and same‑day therapeutic infusions in the outpatient/ED setting.

From a competitive‑standing perspective within Mississippi, the hospital is a major regional player for many ED, diagnostic, and infusion-related services but not universally dominant across every code. Multiple codes rank in the 90th+ percentiles or are labeled notably above typical or extreme outlier (for example, 78452 at the 96th percentile and U0002 at the 98th), while several other common ED and imaging codes sit in more typical percentiles, indicating strong but targeted service leadership.

The NPI tenure shows long-standing operation: NPI enumerated (registered) 2006-04-12 (~20 years ago). That longevity, combined with the concentrated Medicaid revenue base and heavy ED/observation throughput, suggests an established acute care hospital with institutional experience serving a predominantly Medicaid population in the region.

Medicaid: Complete Services Breakdown

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

307 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.	42,560	$170	$7.2M
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.	30,400	$190	$5.7M
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.	27,480	$130	$3.5M
G0378	Hospital observation service, per hour	9,240	$330	$3.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,420	$80	$1.5M
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…	7,950	$150	$1.2M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	3,360	$340	$1.1M
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.	7,370	$140	$1M
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…	27,200	$30	$761.7K
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.	13,580	$60	$760.4K

Showing 1–10 of 307

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

Baptist Memorial Hospital-desoto, Inc, — 5 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

307 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	12	10	390	$3,870	$2M
G0378	Hospital observation service, per hour	8	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.	15	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.	32	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.	12	180	3,000	$140	$1.1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	14	30	5,050	$120	$762K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8	90	4,540	$90	$665.4K
J0897	Injection, denosumab, 1 mg	11	20	960	$500	$531.9K
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.	16	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.	12	110	1,250	$110	$311.6K

Showing 1–10 of 307

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Medical Group Inc	TN	Internal Medicine Physician	$0	$35.6M
Baptist Minor Medical Centers Inc	TN	Internal Medicine Physician	$0	$3M
George Woodman	TN	Surgery Physician	$1.1K	$2.3M
Shiva Natarajan	TN	Neurology Physician	$611.7K	$507.8K
Todd Edwards	TN	Cardiovascular Disease Physician	$837.5K	$0
Dharmesh Patel	MS	Cardiovascular Disease Physician	$612.5K	$0
Brett Lampton	MS	Internal Medicine Physician	$448.6K	$103.5K
Arie Szatkowski	TN	Cardiovascular Disease Physician	$514.2K	$0
Lora Pomykala	TN	Internal Medicine Physician	$507.5K	$0
Kelechi Iwuji	TN	Internal Medicine Physician	$496.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sidhu Pediatrics, LLC	MS	Pediatrics Physician	$0	$10.8M
Desoto Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$8.2M
Spectra Laboratories Inc	MS	Clinical Medical Laboratory	$1.8M	$6.2M
Desoto Family Counseling Center PLLC	MS	Community/Behavioral Health Agency	$0	$5.6M
Simple Strokestherapy Consultants, PA	MS	Physical Therapist	$0	$5.1M
John Acosta	MS	Pediatric Dentistry	$0	$4.7M
Rcg Southaven, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Roberts & Garza Orthodontics Services PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.4M
Genesis Healthcare LLC	MS	Home Health Agency	$0	$2.9M
Anna Gordon	MS	Nurse Practitioner	$2.9M	$0

Baptist Memorial Hospital-desoto, Inc, — Billing Profile & Reimbursement Data

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Baptist Memorial Hospital-desoto, Inc, — 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