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.

Medical Foundation, Inc. (NPI 1235598624)

Medical Foundation, Inc. is a gynecology physician provider located in Meridian, Mississippi. This profile covers 0 Medicare and 32 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	Medical Foundation, Inc.
Address	2401 16th St
City	Meridian
State	MS
ZIP	39301
Taxonomy	Gynecology Physician
NPI Enumerated	February 15, 2016

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	3,390	$100	$325K
99214	The 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…	3,090	$80	$246.8K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	2,390	$90	$205.2K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	2,050	$80	$165.9K
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…	2,070	$50	$103.7K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	1,100	$80	$84.8K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	1,220	$60	$66.8K
99203	The provider sees a new 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 provider…	610	$80	$46.7K
99204	The provider sees a new 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 provider…	250	$110	$26.9K
J1050	Injection, medroxyprogesterone acetate, 1 mg	360	$60	$22.4K

Showing 1–10 of 32

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

Medical Foundation, Inc. — 0 of 23 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

32 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…	678	1,910	930	$60	$278.7K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	37	120	1,480	$90	$263.1K
99214	The 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…	397	1,670	720	$50	$196.4K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	30	120	890	$90	$145.2K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	9	20	40	$760	$97.5K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	17	60	320	$50	$93.6K
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,…	473	670	230	$60	$89.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	275	750	400	$20	$52.5K
99204	The provider sees a new 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 provider…	159	490	90	$70	$49.9K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	14	130	280	$60	$47.7K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rush Medical Foundation	MS	General Acute Care Hospital	$0	$29.4M
Medical Foundation, Inc.	MS	Clinical Medical Laboratory	$1M	$4.2M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Ochsner Mississippi, LLC	MS	Internal Medicine Physician	$0	$3.2M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Medical Foundation, Inc.	MS	Emergency Medicine Physician	$0	$1.3M
Robert Wilkins	MS	Interventional Cardiology Physician	$1.2M	$0
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson Regional Medical Center	MS	General Acute Care Hospital	$0	$32.5M
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
Anderson Regional Medical Center	MS	Rural Health Clinic/Center	$0	$5.4M
Laird Hospital, Inc	MS	Rural Health Clinic/Center	$0	$5.3M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Ms Eye Care PA	MS	Optometrist	$0	$4.4M

Medical Foundation, Inc. — Billing Profile & Reimbursement Data

Sign up for Medical Foundation, Inc. — Billing Profile & Reimbursement Data policy alerts

Medical Foundation, Inc. — Billing Profile & Reimbursement Data

Sign up for Medical Foundation, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References