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.

Baptist Health Centers, LLC (NPI 1265496236)

Baptist Health Centers, LLC is a health service clinic/center provider located in Winfield, Alabama. This profile covers 0 Medicare and 98 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	Baptist Health Centers, LLC
Address	644 Tahoe Rd
City	Winfield
State	AL
ZIP	35594
Taxonomy	Health Service Clinic/Center
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

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

98 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	16,300	$40	$684.5K
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…	8,110	$50	$429.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9,440	$10	$132.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,610	$40	$112.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,020	$50	$102.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,430	$60	$88.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	930	$80	$73.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,250	$60	$72.7K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	2,380	$20	$54.8K
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…	440	$100	$45.2K

Showing 1–10 of 98

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

Baptist Health Centers, LLC — 0 of 25 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

98 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	188	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	233	330	140	$240	$197.4K
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…	144	1,990	560	$40	$185.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	16	60	320	$130	$176.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	132	270	1,360	$60	$159.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	147	300	1,160	$50	$147.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	46	250	420	$50	$133K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	19	20	320	$110	$130.8K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	61	80	220	$70	$103.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	140	320	640	$50	$98.1K

Showing 1–10 of 98

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Physician Network LLC	SC	Internal Medicine Physician	$0	$7.4M
Baptist Health Centers LLC	AL	Specialist	$0	$7M
Baptist Health Centers LLC	AL	Internal Medicine Physician	$0	$2M
Baptist Health Centers, LLC	AL	Family Medicine Physician	$0	$990.6K
Nopporn Unnoppet	AL	Rheumatology Physician	$559.5K	$0
Ashish Mahajan	OH	Interventional Cardiology Physician	$282.5K	$0
Dale Kirby	AL	Clinical Cardiac Electrophysiology Physician	$274.4K	$0
John Eagan	AL	Cardiovascular Disease Physician	$254.9K	$0
Sanjeev Hasabnis	AL	Clinical Cardiac Electrophysiology Physician	$210.3K	$0
Raashid Ashraf	AL	Cardiovascular Disease Physician	$185.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Farouk A. Raquib, M.d., P.C.	AL	Family Medicine Physician	$0	$6.2M
Northwest Medical Center Inc.	AL	Rural Acute Care Hospital	$0	$1.6M
Northstar Ems Inc	AL	Land Ambulance	$644.4K	$743.8K
Rodney Tittle	AL	General Practice Dentistry	$0	$923.5K
James Moss	AL	Internal Medicine Physician	$375.7K	$0
Charles Weeks	AL	Optometrist	$33.8K	$281.9K
Gary Thomas	AL	Internal Medicine Physician	$313.4K	$0
Milo Spruiell	AL	Internal Medicine Physician	$257.3K	$0
Farouk Raquib	AL	Family Medicine Physician	$189.5K	$12.7K
Martin Hajjar	AL	Emergency Medical Services (Emergency Medicine) Physician	$156.1K	$0

Baptist Health Centers, LLC — 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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