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.

Memorial Hospital At Gulfport (NPI 1285061788)

Memorial Hospital At Gulfport is a pediatrics physician provider located in Gulfport, Mississippi. This profile covers 0 Medicare and 40 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	Memorial Hospital At Gulfport
Address	12259 Highway 49
City	Gulfport
State	MS
ZIP	39503
Taxonomy	Pediatrics Physician
NPI Enumerated	September 30, 2013

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

40 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…	25,410	$40	$990.9K
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…	2,320	$80	$182.9K
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…	1,940	$80	$155.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,540	$60	$152.2K
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…	1,890	$60	$104.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,740	$20	$90.1K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	1,110	$80	$86.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	5,820	$10	$52.4K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	1,250	$30	$40.1K
90473	In this procedure, the provider administers a live attenuated vaccine through intranasal or oral route.	640	$10	$5.1K

Showing 1–10 of 40

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

Memorial Hospital At Gulfport — 1 of 20 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

40 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…	85	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…	63	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…	68	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…	547	1,670	720	$50	$196.4K
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,…	506	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.	176	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.	16	60	450	$70	$73.7K
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…	112	150	170	$60	$56.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	177	230	140	$90	$45.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	13	160	300	$40	$41.8K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$87.5M
Memorial Hospital At Gulfport	MS	Urology Physician	$0	$6.2M
Memorial Hospital At Gulfport	MS	Emergency Medicine Physician	$0	$5.8M
Memorial Hospital At Gulfport	MS	Hospitalist Physician	$0	$1.7M
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$1.4M
Mahmoud Zayed	MS	Cardiovascular Disease Physician	$581.1K	$0
William Passarelli	MS	Cardiovascular Disease Physician	$559.9K	$0
Manoj Shah	MS	Cardiovascular Disease Physician	$557.7K	$0
Antoine Rizk	MS	Cardiovascular Disease Physician	$509.1K	$0
Robert Harris	KS	Surgery Physician	$486.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Ms Planning And Development District	MS	Case Management Agency	$0	$63.1M
Singing River Gulfport	MS	General Acute Care Hospital	$0	$24.9M
Helping Hands LLC (respite Care)	MS	In Home Supportive Care Agency	$0	$10.3M
Caspoint Care Inc.	MS	Home Health Agency	$0	$5.2M
South Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$4.8M
Keystone Medical Services Of Gulfport, Inc.	MS	Emergency Medicine Physician	$0	$4.5M
Eric Hyde	MS	Pediatric Dentistry	$0	$4.1M
Kare-in-home Health Services, Inc.	MS	Home Health Agency	$0	$2.5M
Orange Grove Urgent Care	MS	Urgent Care Clinic/Center	$0	$2M
Singing River Gulfport	MS	Multi-Specialty Clinic/Center	$0	$1.7M

Memorial Hospital At Gulfport — 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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