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.

Forrest County General Hospital (NPI 1225041809)

Field	Value
Entity Type	Organization
Organization	Forrest County General Hospital
Address	6051 U S Highway 49
City	Hattiesburg
State	MS
ZIP	39401
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 14, 2006

Payer Source	Total Paid
Medicaid	$81.6M
Medicare	$0

Key Findings

FORREST COUNTY GENERAL HOSPITAL shows no Medicare billing on file and is effectively single‑payer within this dataset, reporting Total Medicaid revenue of $81.6M; analysts should treat Medicaid activity as the primary revenue stream for this provider. The NPI was enumerated 2006-08-14 (~20 years ago), indicating long-standing participation in public programs.

Revenue is highly concentrated in a small set of emergency and observation codes: the precomputed top 3 Medicaid codes (99285, 99284, G0378) account for 48.0% of this provider's total Medicaid revenue. Individually those top codes are large contributors — 99285 $11.7M (19.2%), 99284 $8.9M (14.6%), and G0378 $8.6M (14.1%) — so shifts in emergency/observation utilization would materially affect overall Medicaid revenue.

The code mix and dollar concentrations point to an emergency-department and short-stay observation operational model: 99285, 99284, and 99283 are among the highest-volume E/M ED codes and G0378 (hospital observation service, per hour) is a major revenue driver. Complementary high-volume supporting services such as oxygen therapy 94640 ($2M, ranks #1 of 137, 100th percentile, extreme outlier) and ECG 93005 (54.2K claims, $975.3K, ranks #2 of 113, 99th percentile, extreme outlier) reinforce high ED throughput and acute respiratory/cardiac evaluation capacity.

FORREST COUNTY is a major in-state ED and observation provider by comparative ranking: 99285 ranks #4 of 175 providers in-state (98th percentile; extreme outlier), 99284 ranks #9 of 227 (96th percentile; notably above typical), and G0378 ranks #2 of 72 (99th percentile; notably above typical). Those rank/percentile positions indicate the hospital operates far above typical state volume for its leading acute-care codes and should be considered a dominant local ED/observation site.

The provider maintains a substantive infusion and oncology footprint alongside its ED activity: 96374 ($3M, 5.0%) and 96365 ($1.9M, 3.1%) are extreme outliers in state volume, and chemotherapy and immunotherapy lines are present with 96413 $1.4M (2.3%), 77386 $1.6M (2.7%), J9271 $2.3M (3.7%), and J9299 $1.3M (2.1%). These codes and their ranks (for example, J9299 ranks #1 of 8 providers in-state, 100th percentile) signal on‑site infusion/oncology services that contribute meaningfully, though they do not dominate total Medicaid revenue.

Advanced imaging and cardiovascular diagnostics appear as secondary service lines: 74177 CT abdomen/pelvis $1.5M (2.5%, ranks #6 of 112, 95th percentile), 70450 CT head $884K (1.5%, ranks #5 of 145, 97th percentile), 78452 cardiac SPECT $1.1M (1.8%, ranks #1 of 49, 100th percentile), and 93458 imaging for coronary angiography $768.7K (1.3%, ranks #3 of 26, 92nd percentile). These data indicate the hospital offers substantial imaging and cath/lab imaging capacity used alongside its ED and specialty services.

Routine ED and supportive inpatient procedures are unusually high in volume relative to peers: high-claim nursing/infusion codes 96372 (30.6K claims, $734.2K, ranks #6 of 751, 99th percentile; extreme outlier), 96375 (37.8K claims, $680.9K, ranks #2 of 98, 99th percentile; extreme outlier), and supplemental IV/fluids 96361 (26.7K claims, $962.2K, ranks #2 of 85, 99th percentile; extreme outlier) point to sustained high throughput for medication administration and IV therapies that align with ED and short‑stay care patterns.

From a payer-mix and risk perspective, the absence of Medicare billing and dependence on $81.6M of Medicaid revenue means the hospital's financial exposure within this dataset is highly concentrated in state Medicaid policy and utilization patterns; given the top-three codes account for 48.0% of Medicaid revenue, changes to ED/observation reimbursement or utilization would disproportionately impact the provider's Medicaid receipts.

Medicaid: Complete Services Breakdown

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

433 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.	57,830	$200	$11.7M
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.	49,870	$180	$8.9M
G0378	Hospital observation service, per hour	21,140	$410	$8.6M
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.	37,280	$140	$5.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	36,290	$80	$3M
J9271	Injection, pembrolizumab, 1 mg	680	$3,350	$2.3M
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	22,740	$90	$2M
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.	23,280	$80	$1.9M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	10,790	$150	$1.6M
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.	10,300	$150	$1.5M

Showing 1–10 of 433

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

Forrest County General Hospital — 18 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

433 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	5	10	390	$3,870	$2M
86902	The lab analyst performs an antigen test to screen a potential donor blood unit using reagent serum for possible reactive antigens by mixing part of the unit with serum from the recipient patient.	2	10	170	$290	$2M
G0378	Hospital observation service, per hour	2	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.	9	230	3,260	$120	$1.4M
J2357	Injection, omalizumab, 5 mg	6	10	640	$1,020	$1.3M
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.	16	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.	4	180	3,000	$140	$1.1M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	2	10	1,930	$190	$979.6K
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…	5	30	5,050	$120	$762K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	4	10	640	$170	$759.9K

Showing 1–10 of 433

Related Providers

Other providers that share a Tax Identification Number (TIN) with Forrest County General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$21.7M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$9.5M
Forrest County General Hospital	MS	Critical Access Hospital	$0	$3.8M
Forrest County General Hospital	MS	Critical Access Hospital	$0	$3.7M
Forrest County General Hospital	MS	Home Health Agency	$0	$3.1M
Forrest County General Hospital	MS	Rural Health Clinic/Center	$0	$2.8M
Forrest County General Hospital	MS	Family Medicine Physician	$0	$2.7M
Christopher Douglas	MS	Interventional Cardiology Physician	$1.7M	$0
Forrest County General Hospital	MS	Rural Health Clinic/Center	$0	$1.6M
Forrest County General Hospital	MS	Psychiatry Physician	$0	$1.5M

Nearby Providers

Other providers in the same ZIP code as Forrest County General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region 12 Commission On Mental Health & Retardation Pine Belt Men	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$108.3M
Hattiesburg Clinic PA	MS	Multi-Specialty Clinic/Center	$0	$59.5M
Doves Home Care	MS	Home Health Agency	$0	$12M
Neighborhood Healthcare Providers	MS	Internal Medicine Physician	$0	$10.9M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$7.9M
Hattiesburg Clinic PA	MS	Ambulatory Surgical Clinic/Center	$4.5M	$2.4M
Top Choice Healthcare	MS	In Home Supportive Care Agency	$0	$6M
Hattiesburg Clinic PA	MS	Clinical Medical Laboratory	$2.2M	$3.3M
Relias Emergency Medicine Specialists Of Hattiesburg LLC	MS	Emergency Medicine Physician	$0	$5M
Southern Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$4.7M	$103.6K

Forrest County General Hospital — Billing Profile & Reimbursement Data

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Forrest County General Hospital — 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