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    OpenPayerNPI Medicare & MedicaidMarion Regional Medical Center, Inc.
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    Marion Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1205254356 · Hamilton, AL · Rural Health Clinic/Center

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    Marion Regional Medical Center, Inc. is a rural health clinic/center provider located in Hamilton, Alabama. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMarion Regional Medical Center, Inc.
    Address1336 Military St S
    CityHamilton
    StateAL
    ZIP35570
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedApril 4, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive50,890$110$5.3M
    99213The 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…34,750$1$104.3K
    99214The 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…12,590$1$12.6K
    90648This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–T conjugate and follows a four–dose…1,280$10$7.7K
    90723The provider administers a combination inactivated vaccine intramuscularly to prevent multiple diseases, including diphtheria, tetanus, acellular pertussis, hepatitis B, and polio.1,030$10$6.2K
    87428The 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…90$40$3.5K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…750$1$3K
    90680This code represents a live pentavalent rotavirus vaccine given by mouth in a three–dose schedule to protect against rotavirus infection.550$10$2.7K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…500$1$2K
    90716The provider administers a live vaccine subcutaneously to protect against varicella infection.270$10$1.9K

    Showing 1–10 of 37

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    37 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive302406,820$120$2.9M
    99214The 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…1201,990680$60$201.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…129330140$240$197.4K
    99213The 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…521,990560$40$185.6K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…1262701,360$60$159.7K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…1213001,160$50$147.8K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.122320640$50$98.1K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…36180480$20$86.2K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.139300330$50$56.3K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…156260910$20$47.2K

    Showing 1–10 of 37

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Marion Regional Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marion Regional Medical Center, Inc.ALGeneral Acute Care Hospital$0$917.1K
    Babadele OyedepoILInternal Medicine Physician$195.6K$0
    Yahya KurdiOHInternal Medicine Physician$161.5K$0
    Noel GarciaMSInternal Medicine Physician$133.6K$0
    Amanda HulseyMSFamily Medicine Physician$82.8K$0
    Kendra WrightALNurse Practitioner$81.4K$0
    David VanceMSCertified Registered Nurse Anesthetist$28.7K$0
    Lauren AbelMSCertified Registered Nurse Anesthetist$11K$0
    Dana MannMSCertified Registered Nurse Anesthetist$8.5K$0
    Donald HunterALCertified Registered Nurse Anesthetist$4.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Marion Regional Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aseracare Hospice - Hamiliton, LLCALCommunity Based Hospice Care Agency$0$2.7M
    Ouch Urgent Care Of Hamilton LLCALFamily Medicine Physician$0$1M
    Marion County Health Dept-hamilton Fp ClinicALPublic Health or Welfare Agency$0$883.8K
    Raymond CobbALOptometrist$80.2K$98K
    Courtney DuboseALFamily Nurse Practitioner$47.3K$0
    Wal-mart Stores East LPALCommunity/Retail Pharmacy$42.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alabama Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Marion Regional Medical Center, Inc. — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama