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.

All Children's Clinic,pc (NPI 1265756951)

Field	Value
Entity Type	Organization
Organization	All Children's Clinic,pc
Address	103 Halls Cv
City	Senatobia
State	MS
ZIP	38668
Taxonomy	Pediatrics Physician
NPI Enumerated	March 24, 2010

Payer Source	Total Paid
Medicaid	$22.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused practice: there is no Medicare billing on file and the provider reports Total Medicaid revenue of $22.6M, indicating single‑payer scale concentrated in Medicaid rather than a mixed Medicare/Medicaid practice. Analysts should treat the entity as operating primarily within the Medicaid population when modeling payer exposure or network leverage.

Revenue is highly concentrated in a few visit codes: the precomputed top 3 Medicaid codes account for 57.9% of the provider’s total Medicaid revenue, led by 99213 ($8M revenue, 36.2% of Medicaid revenue), followed by 99214 ($2.9M, 13.2%) and 99392 ($1.9M, 8.4%). This concentration implies that established office visits and preventive well visits are the principal revenue drivers for the practice.

The code mix points to a pediatric primary care and preventive services operation: very high volumes of E/M established visit codes (99213: 153.2K claims; 99214: 38.7K claims) alongside robust preventive medicine codes (99392: 25K claims; 99391: 20.7K claims; 99393: 23.2K claims) and immunizations (90460: 46.3K claims). Together these patterns are consistent with a high-throughput pediatric clinic delivering routine well-child care, immunizations, and periodic preventive visits rather than specialty procedural work.

The provider is a dominant statewide performer on many pediatric and ancillary services: 99213 ranks #3 of 1909 providers in-state (100th percentile; extreme outlier), 99393 and 99394 both rank #1 of their peer groups (100th percentile; extreme outlier), D0145 ranks #1 of 93 (100th percentile; extreme outlier), and 99173 ranks #1 of 360 (100th percentile; extreme outlier). These ranks indicate the practice is a major in-state volume leader for core well-child and screening services, and should be treated as a market incumbent when assessing competitive dynamics.

Beyond visits, the practice reports very high volumes of point-of-care and screening services that align with pediatric preventive care: 90460 (46.3K claims, $1.5M revenue) for vaccines, 87430 (29.3K claims, $322K revenue) for group A strep testing ranked #1 in-state, 87804 (19.2K claims, $421.5K) for influenza testing, and 87811 (9.3K claims, $270.5K) for SARS–CoV‑2 antigen testing. These ancillary services both diversify fee-line revenue and suggest on-site testing and immunization workflows that support high outpatient throughput.

Several codes show unusually high utilization relative to peers, flagged in the source as “extreme outlier” or “notably above typical” for their state cohorts; examples include 99213 (extreme outlier), 99392 (extreme outlier), 99393 (extreme outlier), 87430 (extreme outlier), and 99173 (extreme outlier). For utilization- or network-management purposes, these statistical labels indicate the provider is an outlier on volumes for basic pediatric services and should be prioritized for capacity, access, or cost-containment review.

Operational profile implication: the large claim counts for routine E/M and preventive codes (e.g., 153.2K claims for 99213 and 46.3K claims for 90460) suggest high visit throughput and standardized visit types rather than complex episodic care. Contracting teams should expect most encounters to be brief office-based E/M and preventive encounters with bundled vaccine administrations and point-of-care testing rather than resource‑intensive procedures.

The provider has a long tenure in the Medicare/Medicaid enrollment system, with NPI enumeration dated 2010-03-24 (~16 years ago), which aligns with sustained high statewide rankings on multiple pediatric service lines; this longevity supports the interpretation that high volumes are an established pattern rather than a short-term anomaly.

Medicaid: Complete Services Breakdown

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

107 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…	153,160	$50	$8M
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…	38,710	$80	$2.9M
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…	25,020	$70	$1.9M
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…	20,730	$80	$1.7M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	23,250	$70	$1.6M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	46,350	$30	$1.5M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	14,720	$70	$1.1M
D0145	N/A	30,070	$30	$872.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	19,160	$20	$421.5K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	29,270	$10	$322K

Showing 1–10 of 107

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

All Children's Clinic,pc — 19 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

107 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…	3	1,910	930	$60	$278.7K
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…	2	170	1,210	$90	$275K
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…	2	220	470	$90	$212.2K
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…	19	1,670	720	$50	$196.4K
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…	65	140	400	$80	$191K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2	160	710	$30	$119.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	164	240	880	$20	$96.5K
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,…	53	670	230	$60	$89.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1	230	190	$80	$74.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	13	60	450	$70	$73.7K

Showing 1–10 of 107

Nearby Providers

Other providers in the same ZIP code as All Children's Clinic,pc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Solace Adult Daycare	MS	Home Health Agency	$0	$7.6M
Providence Pcc Of Senatobia, LLC	MS	Assisted Living Facility	$0	$2.9M
Sidhu Pediatrics, LLC	MS	Pediatrics Physician	$0	$2.4M
Tate County Hospital	MS	General Acute Care Hospital	$0	$1.5M
Michael Bagwell	MS	Family Medicine Physician	$1.1M	$37.9K
Kyle Blount	MS	Physical Therapist	$156.1K	$0
Jessie Cockrell	MS	Family Medicine Physician	$150.6K	$0
Katherine Soldevila	MS	Nurse Practitioner	$135.3K	$0
Beverly Briscoe	MS	Family Nurse Practitioner	$83.8K	$0
Walgreen Co	MS	Pharmacy	$77.6K	$0

All Children's Clinic,pc — Billing Profile & Reimbursement Data

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All Children's Clinic,pc — 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

Nearby Providers

Frequently Asked Questions

References