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.

Highland Community Hospital Physicians (NPI 1275887499)

Highland Community Hospital Physicians is a obstetrics & gynecology physician provider located in Picayune, Mississippi. This profile covers 0 Medicare and 52 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	Highland Community Hospital Physicians
Address	146 Highland Parkway
City	Picayune
State	MS
ZIP	39466
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	November 9, 2012

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

52 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…	11,230	$40	$426.6K
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…	2,100	$90	$188.7K
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…	2,110	$90	$181.5K
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…	1,540	$50	$80K
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,…	2,330	$30	$69.8K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	1,030	$60	$56.5K
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…	790	$60	$47.5K
J1050	Injection, medroxyprogesterone acetate, 1 mg	880	$40	$34.3K
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.	1,720	$10	$22.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	300	$60	$18.9K

Showing 1–10 of 52

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

Highland Community Hospital Physicians — 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

52 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…	216	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…	94	170	1,210	$90	$275K
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…	51	120	1,480	$90	$263.1K
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…	126	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…	612	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…	33	120	890	$90	$145.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	7	10	20	$610	$132.1K
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.	65	160	710	$30	$119.4K
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…	44	50	70	$630	$99.1K
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,…	101	670	230	$60	$89.5K

Showing 1–10 of 52

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woodie Wilson	MS	Urology Physician	$522.5K	$0
Sean Douglas	MS	Urology Physician	$239.6K	$0
John Moore	MS	Urology Physician	$213.2K	$0
Kaitlen Schexnayder	MS	Urology Physician	$178.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$21.7M
Saint Francis Community Services In Mississippi Inc	MS	Assisted Living Facility (Behavioral Disturbances)	$0	$14.7M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$4.6M
Picayune General Dentistry, Inc.	MS	General Practice Dentistry	$0	$3.6M
Forrest County General Hospital	MS	Family Medicine Physician	$0	$2.7M
Advanced Eyecare, LLC	MS	Optometrist	$0	$1.7M
Horace Combs	MS	General Practice Dentistry	$0	$1.3M
Picayune Urgent Care Clinic, LLC	MS	Urgent Care Clinic/Center	$0	$1.3M
Willow Bend Emergency Group, LLC	MS	Emergency Medicine Physician	$0	$1.2M
Kraig Stasney	MS	Optometrist	$71.7K	$228.6K

Highland Community Hospital Physicians — 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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