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.

Paragon Contracting Services LLC (NPI 1225071459)

Field	Value
Entity Type	Organization
Organization	Paragon Contracting Services LLC
Address	810 Saint Vincents Dr
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$54.5M
Medicare	$0

Key Findings

PARAGON CONTRACTING SERVICES LLC is effectively a Medicaid-focused emergency medicine practice: it has no Medicare billing on file and $54.5M in lifetime Medicaid revenue, indicating a single-payer footprint concentrated entirely in Medicaid rather than a mixed Medicare/Medicaid model. The NPI was enumerated on 2006-06-14 (~20 years ago), showing long tenure that supports an established presence in the market.

Three emergency department E/M codes—99285, 99284, and 99283—account for 99.0% of this provider's total Medicaid revenue, with 99285 alone responsible for $25.7M (47.2%) and 99284 for $20.7M (37.9%). This extreme concentration on high-, moderate-, and low-level ED visits indicates the organization operates at scale as an emergency care billing entity rather than a general outpatient practice.

The provider is a statewide leader on core ED codes: it ranks #1 in Alabama for 99285 (100th percentile among 193 providers), 99284 (100th percentile among 238 providers), and 99283 (100th percentile among 230 providers). Those 100th-percentile rankings and the dataset's characterization of these volumes as "extreme outlier, far above typical state volume for this code" underline dominant competitive standing in in-state Medicaid emergency visit volume.

Although the top three E/M codes drive nearly all revenue, the practice also reports smaller volumes of allied codes consistent with emergency care operations: 99291 and 99292 (critical care add-ons) appear but together represent under 1% of Medicaid revenue, and 93010 (ECG interpretation) is present at typical volumes. This mix suggests most clinical activity is ED evaluation and management rather than prolonged critical care or ancillary diagnostics.

The revenue concentration presents business risk tied to ED visit mix: with 99.0% of Medicaid revenue concentrated in three ED E/M codes, shifts in Medicaid reimbursement policy, utilization management, or coding guidance for 99285/99284/99283 could materially affect total revenue. The provider should be viewed as operationally dependent on emergency visit throughput and acuity-level billing.

Several ancillary codes show notable in-state standing even at small contribution levels: 99053 (overnight facility services) ranks #2 of 19 providers and is described as "notably above typical state volume for this code," while 99291 ranks #3 of 59 providers (97th percentile) indicating above-typical critical care activity relative to peers despite low absolute revenue from those codes. These patterns reinforce that the provider is concentrated in ED operations but also delivers some critical-care and facility-level services at higher-than-typical state volumes.

Medicaid: Complete Services Breakdown

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

12 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.	429,110	$60	$25.7M
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.	397,240	$50	$20.7M
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.	205,490	$40	$7.6M
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…	5,780	$80	$450.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20,260	$1	$60.8K
99282	The 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.	170	$30	$4.8K
99220	N/A	30	$130	$3.6K
99217	N/A	90	$10	$1.3K
99292	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…	40	$10	$470
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	180	$1	$350

Showing 1–10 of 12

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

Paragon Contracting Services LLC — 7 of 11 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

12 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.	1	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.	1	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.	1	230	5,160	$40	$474.1K
99282	The 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.	91	130	420	$40	$106K
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…	3	60	270	$110	$94.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	9	170	890	$10	$25.2K
99220	N/A	5	10	50	$60	$3.4K
99292	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…	3	10	30	$30	$2.5K
99217	N/A	1	10	20	$30	$1.2K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	28	50	80	$1	$510

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamed Hassan	AL	Internal Medicine Physician	$264.3K	$0
Jacqueline Montoya	PA	Critical Care Medicine (Internal Medicine) Physician	$226.2K	$0
Nathan Mohseni	NJ	Emergency Medicine Physician	$171.2K	$0
Dileep Ravi	FL	Emergency Medicine Physician	$142.5K	$0
Da Le	NH	Emergency Medicine Physician	$120.3K	$0
Alan Cease	AL	Emergency Medicine Physician	$112.1K	$0
Austin Dennis	AL	Diagnostic Radiology Physician	$112.1K	$0
Andrew Krieger	NC	Emergency Medicine Physician	$91.8K	$0
Joseph Cook	AR	Family Medicine Physician	$49.7K	$35K
Steven Coppock	AL	Family Medicine Physician	$61.3K	$0

Nearby Providers

Other providers in the same ZIP code as Paragon Contracting Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oral & Facial Surgery Of Al, PC	AL	Specialist	$0	$6.4M
Pediatric Dental Associates Of Birmingham, LLC	AL	Pediatric Dentistry	$0	$6.1M
University Of Alabama At Birmingham	AL	Developmental Disabilities Clinic/Center	$0	$4.8M
Magnolia Pediatrics South Inc	AL	Pediatric Adolescent Medicine Physician	$0	$2.9M
Birmingham Pediatric Assoc	AL	Pediatrics Physician	$0	$2.5M
Alabama Ophthalmology Associates, P.C.	AL	Ophthalmology Physician	$0	$2.1M
St. Vincent's P.e.t. Center, LLC	AL	Diagnostic Radiology Physician	$1.6M	$0
St. Vincent's Birmingham	AL	General Acute Care Hospital	$0	$1.3M
Cara Bondly	AL	Hematology & Oncology Physician	$986.3K	$0
Redmont Pediatric Associates, P.C.	AL	Specialist	$0	$946.2K

Paragon Contracting Services LLC — Billing Profile & Reimbursement Data

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Paragon Contracting Services LLC — 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