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.

Anderson Regional Medical Center (NPI 1215233986)

Anderson Regional Medical Center is a general acute care hospital provider located in Meridian, Mississippi. This profile covers 0 Medicare and 56 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	Anderson Regional Medical Center
Address	1102 Constitution Ave
City	Meridian
State	MS
ZIP	39301
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 28, 2011

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	1,460	$820	$1.2M
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	1,670	$390	$645.5K
99213	The 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…	14,750	$40	$545.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	4,580	$100	$462.2K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	1,300	$290	$376K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	16,990	$20	$271.8K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	26,300	$10	$210.4K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	350	$400	$140.2K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	1,430	$40	$54.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,640	$20	$50.1K

Showing 1–10 of 56

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

Anderson Regional Medical Center — 4 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The 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…	158	1,910	930	$60	$278.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	105	110	3,930	$20	$166.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	11	70	430	$70	$123.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	71	120	1,650	$30	$115K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	50	2,780	$10	$111.3K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	1	20	40	$420	$105.7K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	32	40	4,940	$10	$98.8K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	5	40	160	$170	$90.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	82	670	230	$60	$89.5K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	35	60	560	$60	$79.4K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson Regional Medical Center	MS	General Acute Care Hospital	$0	$32.5M
Anderson Regional Medical Center	MS	Rural Health Clinic/Center	$0	$5.4M
Amanda Fowler	MS	Rheumatology Physician	$3.4M	$0
Elizabeth Herrington	MS	Medical Oncology Physician	$1.9M	$0
Wesley Bennett	MS	Interventional Cardiology Physician	$1.1M	$0
Thomas Plavac	MS	Cardiovascular Disease Physician	$1M	$0
Edwin Purvis	MS	Cardiovascular Disease Physician	$676.4K	$0
Larry Shea Hailey	MS	Cardiovascular Disease Physician	$659.8K	$0
Jennifer Rodriguez	MS	Cardiovascular Disease Physician	$646.2K	$0
Benedict Ewaleifoh	MS	Internal Medicine Physician	$626.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rush Medical Foundation	MS	General Acute Care Hospital	$0	$29.4M
Meridian Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$9.3M
Lauderdale County Ems District	MS	Ambulance	$2.1M	$6.4M
Southern Home Private Care LLC	MS	Homemaker	$0	$6M
Kevin Douglas	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.9M
Douglas Orthodontics PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Laird Hospital, Inc	MS	Rural Health Clinic/Center	$0	$5.3M
Medical Foundation, Inc.	MS	Clinical Medical Laboratory	$1M	$4.2M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Ms Eye Care PA	MS	Optometrist	$0	$4.4M

Anderson Regional Medical Center — 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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