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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Northwest Emergency Physician Group (NPI 1205197951)

Field	Value
Entity Type	Organization
Organization	Northwest Emergency Physician Group
Address	1300 S Montgomery Ave
City	Sheffield
State	AL
ZIP	35660
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 30, 2012

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	24,260	$60	$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.	26,680	$50	$1.2M
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.	4,460	$30	$120.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,980	$1	$11.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	80	$30	$2.5K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	110	$1	$110
99053	The provider renders overnight services at a 24 hour facility.	120	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	380	$0	$0
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	20	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	590	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Northwest Emergency Physician Group — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	25	240	4,820	$60	$807.6K
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.	10	190	1,480	$100	$730.7K
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.	123	230	5,160	$40	$474.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	44	60	270	$110	$94.3K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	102	120	770	$10	$27.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	46	170	890	$10	$25.2K
99053	The provider renders overnight services at a 24 hour facility.	15	20	1,060	$1	$80
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	12	10	500	$1	$10
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	95	240	230	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	11	30	260	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Emergency Physician Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heather Childers	OH	Emergency Medicine Physician	$100.3K	$0
Kenneth Collins	AL	Emergency Medicine Physician	$93.1K	$0
James Morris	AL	Adult Health Nurse Practitioner	$73.6K	$0
Steven Werdehoff	AL	Emergency Medicine Physician	$70.9K	$0
Joy Catania	AL	Physician Assistant	$67.5K	$0
Leah Mcintosh	MS	Internal Medicine Physician	$51.6K	$0

Nearby Providers

Other providers in the same ZIP code as Northwest Emergency Physician Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoals Primary Care, LLC	AL	Family Medicine Physician	$0	$5.8M
Hh Health System - Shoals LLC	AL	General Acute Care Hospital	$0	$5M
Northwest Alabama Health Services, LLC	AL	Ambulance	$1.3M	$2.3M
Colbert County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.9M
Oral & Facial Surgery Of The Shoals, L.L.C.	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$1.3M
Faith Based Psychological Associates, Inc	AL	Community/Behavioral Health Agency	$0	$1.3M
Jerry Williams	AL	Cardiovascular Disease Physician	$370.6K	$0
Charles Thompson	AL	Family Medicine Physician	$303.5K	$0
Anthony Horton	AL	Family Medicine Physician	$301.9K	$0

Northwest Emergency Physician Group — Billing Profile & Reimbursement Data

Sign up for Northwest Emergency Physician Group — Billing Profile & Reimbursement Data policy alerts

Northwest Emergency Physician Group — Billing Profile & Reimbursement Data

Sign up for Northwest Emergency Physician Group — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References