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    OpenPayerNPI Medicare & MedicaidVicksburg Healthcare LLC
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    Vicksburg Healthcare LLC — Billing Profile & Reimbursement Data

    NPI 1215981303 · Vicksburg, MS · General Acute Care Hospital

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    Vicksburg Healthcare LLC is a general acute care hospital provider located in Vicksburg, Mississippi. This profile covers 0 Medicare and 279 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
    OrganizationVicksburg Healthcare LLC
    Address2100 Highway 61 N
    CityVicksburg
    StateMS
    ZIP39183
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMay 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$23M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in the available data: there is no Medicare billing on file and all recorded fee-for-service revenue comes from Medicaid, totaling $23M. The absence of Medicare activity suggests this hospital’s public-pay mix is concentrated on state Medicaid programs rather than fee-for-service Medicare business.

    Revenue concentration is heavily driven by emergency-department E/M codes: the precomputed top 3 Medicaid codes account for 55.3% of total Medicaid revenue, led by 99283 (24.8% of Medicaid revenue), 99284 (21.4%), and 99285 (9.2%). That concentration indicates ED visits are the primary revenue engine on the Medicaid side rather than elective inpatient DRGs or high-revenue procedural specialties.

    Service-line mix implied by the top codes points to a full-service acute-care hospital with a high-volume emergency department and supporting diagnostic services. In addition to ED E/M codes (99283/99284/99285), the top codes list includes imaging (71046, 74177, 70450), observation hours (G0378), echocardiography (93306), and frequent lab services (80307, 80053), consistent with an on-site ED, imaging, and laboratory infrastructure.

    Competitive standing for ED services is solid but not dominant statewide: 99283 ranks #22 of 223 providers in-state (91th percentile; typical, unremarkable volume), 99284 ranks #35 of 227 (85th percentile), and 99285 ranks #41 of 175 (77th percentile). These percentiles suggest VICKSBURG HEALTHCARE LLC is a notable ED provider within Mississippi but not among the top few highest-volume systems for those specific ED levels.

    There are several high-volume ancillary codes where the provider ranks at or above the 90th percentile, signaling strong throughput in routine hospital workflows. Notably, 36415 (blood draw) shows 71.2K claims and ranks #13 of 777 providers in-state (98th percentile; extreme outlier, far above typical state volume), and 96372 (injections) ranks #38 of 751 (95th percentile; notably above typical state volume), indicating very high utilization of basic lab and injection services relative to peers.

    Diagnostic and testing volumes are substantial and diversified: 71046 (12.8K claims, $576.6K revenue) ranks #22 of 240 (91th percentile), 87428 (9.5K claims, $485.2K) ranks #8 of 181 (96th percentile), and 80053 (29.7K claims, $207.9K) ranks #19 of 226 (92th percentile). This pattern—high-volume chest x-rays, infectious-disease panels, and metabolic panels—supports the interpretation of frequent acute presentations requiring rapid diagnostic workups.

    Operational tenure is long-standing: the provider’s NPI was enumerated on 2006-05-21 (~20 years ago), indicating it has been an established facility in the market for roughly two decades. That longevity is consistent with the breadth of services—ED, imaging, lab, observation—reflected in the billing mix.

    While ED E/M codes drive the largest share of Medicaid revenue, many procedure-level revenues are modest in dollar amount per claim (for example, 36415 paid $3/claim across 71.2K claims and 93005 paid $20/claim across 10.8K claims), which together produce meaningful revenue through volume. The facility’s financial model on Medicaid therefore appears volume-driven across many low-dollar, high-frequency services rather than concentrated in a few high-dollar procedures.

    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.

    279 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.33,090$140$4.6M
    99284The 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.21,560$180$4M
    99285The 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.8,870$190$1.7M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.8,810$90$810.3K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.9,350$80$748K
    G0378Hospital observation service, per hour1,860$380$706.1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…12,810$50$576.6K
    74177The 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.3,370$150$515.6K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…13,880$40$485.8K
    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…9,510$50$485.2K

    Showing 1–10 of 279

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    279 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0378Hospital observation service, per hour33701,480$370$1.4M
    99284The 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.352303,260$120$1.4M
    99283The 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.222205,690$100$1.2M
    99285The 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.411803,000$140$1.1M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.26904,540$90$665.4K
    96365The 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.41902,110$80$325.8K
    74177The 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.321101,250$110$311.6K
    92507The 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…842201,590$50$291.3K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.161502,200$70$280.7K
    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…1,7321,910930$60$278.7K

    Showing 1–10 of 279

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vicksburg Healthcare LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wesley Physician Services LLCMSFamily Medicine Physician$0$8.2M
    Olatunji OluwatadeMSInfectious Disease Physician$436.6K$0
    Jeffrey MorrisMSInternal Medicine Physician$267.1K$0
    Ronald KennedyMSThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$56K$0
    Timothy TrotterOKThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$55.5K$0
    Craig AdamsMSThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$29K$0

    Nearby Providers

    Other providers in the same ZIP code as Vicksburg Healthcare LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vicksburg Clinic LLCMSRural Health Clinic/Center$0$15.9M
    Vicksburg Clinic LLCMSFamily Medicine Physician$0$4.1M
    Roderick ColemanMSPediatric Dentistry$0$2.8M
    Vicksburg Family DentalMSGeneral Practice Dentistry$0$2.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.5M
    Gateway Behavioral Health ServicesMSMental Health Clinic/Center (Including Community Mental Health Center)$0$2.2M
    Roderick L. Coleman, D.m.d., PAMSPediatric Dentistry$0$1.4M
    Drs. Coleman And Taylor, D.d.s., M.s.MSOrthodontics and Dentofacial Orthopedics Dentistry$0$1.2M
    Paul PierceMSCardiovascular Disease Physician$291.9K$0
    John FaganMSUrology Physician$172.2K$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. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Vicksburg Healthcare LLC — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi