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.

Usa Health Physician Billing Services LLC (NPI 1285292912)

Field	Value
Entity Type	Organization
Organization	Usa Health Physician Billing Services LLC
Address	2451 University Hospital Dr
City	Mobile
State	AL
ZIP	36617
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 29, 2019

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $12.7M in lifetime Medicaid revenue, making its public billing footprint effectively single‑payer and Medicaid‑centric. Analysts should treat the provider as predominantly dependent on Medicaid flows rather than a mixed Medicare/Medicaid operation when assessing revenue risk and contracting leverage.

Revenue is highly concentrated in a narrow set of emergency department evaluation/management codes: the precomputed top three Medicaid codes account for 94.9% of the provider's total Medicaid revenue, driven by 99284 (43.1%), 99283 (33.6%), and 99285 (18.3%). This concentration means changes to reimbursement or utilization for these specific ED E/M codes would materially affect the provider’s overall revenue.

The code mix (99284, 99283, 99285) and the provider taxonomy (Emergency Medicine Physician) indicate the operation functions as a high-volume emergency department billing service rather than a primary care or outpatient specialty practice. The predominance of ED E/M codes suggests routine coverage of emergency department visits across a range of acuity levels, consistent with a centralized ED billing model.

Claim counts and average paid/claim values show a skew toward lower- and moderate-acuity ED visits with a smaller high-acuity tail: 99283 has 52.5K claims at $81 avg paid/claim, 99284 has 38.4K claims at $142 avg paid/claim, and 99285 has 11K claims at $210 avg paid/claim. The volume distribution implies the majority of encounters are low-to-moderate complexity, while higher-paid, high-acuity visits contribute disproportionate per-claim dollars.

State-level competitive standing varies by code: for 99283 the provider ranks #8 of 230 and sits in the 97th percentile (labeled notably above typical state volume), indicating it is a high-volume performer for low‑level ED E/M visits. For 99284 it ranks #17 of 238 in the 93th percentile (described as typical, unremarkable volume), and for 99285 it ranks #22 of 193 in the 89th percentile (also described as typical), positioning the provider as a significant but not dominant statewide participant overall—particularly strong on 99283.

Less-revenue codes show limited contribution and clinical scope outside the core ED mix: 99282 accounts for $614.4K (4.9%) with 11.4K claims at $54 avg paid/claim, while 99291 (critical care) is rare at 105 claims for $31.4K (0.2%) with $299 avg paid/claim. The occasional use of 99291 indicates some critical care encounters are billed but they are not a material revenue driver.

NPI enumeration date is 2019-05-29 (~7 years ago), indicating the provider has been active for several years but is not among the longest-tenured entities in statewide Medicaid data; this tenure is sufficient to establish a stable Medicaid billing pattern concentrated in ED services.

From a payer or competitive intelligence perspective, the combination of a Medicaid‑only revenue base and 94.9% concentration in three ED E/M codes suggests monitoring should focus on Medicaid policy changes, EM E/M coding guidance, and utilization trends for 99283–99285. Any targeted edits, prior‑authorization policies, or fee schedule adjustments affecting these ED E/M codes would likely have outsized impact on the provider’s financials.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	38,380	$140	$5.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	52,490	$80	$4.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	11,000	$210	$2.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	11,380	$50	$614.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	110	$300	$31.4K

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

Usa Health Physician Billing Services LLC — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	17	240	4,820	$60	$807.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	22	190	1,480	$100	$730.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8	230	5,160	$40	$474.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	11	130	420	$40	$106K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	39	60	270	$110	$94.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Usa Health Physician Billing Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usa Health Physician Billing Services LLC	AL	Neonatal-Perinatal Medicine Physician	$0	$28.2M
University Of South Alabama	AL	Children's Hospital	$0	$24.8M
Usa Health Physician Billing Services LLC	AL	Pediatrics Physician	$0	$11M
Usa Health Physician Billing Services LLC	AL	Obstetrics & Gynecology Physician	$0	$6.3M
Usa Health Physician Billing Services LLC	AL	Diagnostic Radiology Physician	$0	$2.9M
Usa Health Physician Billing Services LLC	AL	Orthopaedic Surgery Physician	$0	$2.6M
Usa Health Physician Billing Services LLC	AL	Hospitalist Physician	$0	$2.3M
Usa Health Physician Billing Services LLC	AL	Neurology Physician	$0	$2.1M
Usa Health Physician Billing Services LLC	AL	Pediatric Gastroenterology Physician	$0	$2.1M
Usa Health Physician Billing Services LLC	AL	Internal Medicine Physician	$0	$2M

Nearby Providers

Other providers in the same ZIP code as Usa Health Physician Billing Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of South Alabama	AL	Clinical Medical Laboratory	$0	$4.6M
University Of South Alabama	AL	General Acute Care Hospital	$0	$4.6M
University Of South Alabama	AL	Internal Medicine Physician	$0	$4.1M
Altapointe Health Systems, Inc.	AL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.3M
Usa Health Anesthesia Billing Services, LLC	AL	Anesthesiology Physician	$0	$1.9M
Usa Hca Obgyn Services LLC	AL	Clinic/Center	$0	$1.8M
Usa Health Physician Billing Services LLC	AL	Anatomic Pathology & Clinical Pathology Physician	$0	$1.5M
Usa Health Physician Billing Services LLC	AL	Internal Medicine Physician	$0	$1.3M
University Of South Alabama	AL	Body Imaging Physician	$0	$1.1M
Bio-medical Applications Of Alabama, Inc.	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$921.7K

Usa Health Physician Billing Services LLC — Billing Profile & Reimbursement Data

Sign up for Usa Health Physician Billing Services LLC — Billing Profile & Reimbursement Data policy alerts

Usa Health Physician Billing Services LLC — Billing Profile & Reimbursement Data

Sign up for Usa Health Physician Billing Services LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References