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.

Starkville Clinic For Women, PA (NPI 1265513071)

Starkville Clinic For Women, PA is a obstetrics & gynecology physician provider located in Starkville, Mississippi. This profile covers 0 Medicare and 29 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	Starkville Clinic For Women, PA
Address	100 Medical Park Drive
City	Starkville
State	MS
ZIP	39759
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	October 18, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

29 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…	10,710	$90	$942.4K
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…	4,770	$80	$396.1K
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…	4,680	$60	$257.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	3,520	$20	$81K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	3,490	$20	$80.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	110	$740	$78.2K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	1,710	$30	$47.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	650	$70	$44K
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,…	1,390	$30	$43K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	5,250	$10	$31.5K

Showing 1–10 of 29

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

Starkville Clinic For Women, PA — 0 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

29 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…	429	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…	9	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…	1,134	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…	11	120	890	$90	$145.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	37	80	520	$60	$100.8K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	19	50	70	$630	$99.1K
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.	47	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,…	143	670	230	$60	$89.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	33	80	410	$70	$80.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	20	110	510	$20	$70K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anna Cooper	MS	Nurse Practitioner	$6.3K	$155.6K
Emily Holly	MS	Women's Health Nurse Practitioner	$5.4K	$80.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Triangle Planning & Development District Inc	MS	Case Management Agency	$0	$25.9M
Oktibbeha County Hospital	MS	Rural Acute Care Hospital	$0	$19.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$16.1M
Starkville Pediatric Clinic	MS	Pediatrics Physician	$0	$6M
Golden Triangle Planning & Development District Inc	MS	Homemaker	$0	$5.1M
Hometown Healthcare Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Ot 4 Kidz, LLC	MS	Occupational Therapist	$0	$4.4M
Children's Rehab	MS	Physical Therapy Clinic/Center	$0	$3.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$3.7M
Speech Therapy For Kids, LLC	MS	Speech-Language Pathologist	$0	$3.3M

Starkville Clinic For Women, PA — Billing Profile & Reimbursement Data

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Starkville Clinic For Women, PA — 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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