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.

Pike County Health Dept Epsdt Cm (NPI 1285777672)

Field	Value
Entity Type	Organization
Organization	Pike County Health Dept Epsdt Cm
Address	900 S Franklin Dr
City	Troy
State	AL
ZIP	36081
Taxonomy	Case Management Agency
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$894.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9008	Coordinated care fee, physician coordinated care oversight services	11,930	$80	$894.5K

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

Pike County Health Dept Epsdt Cm — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9008	Coordinated care fee, physician coordinated care oversight services	8	170	1,500	$100	$860K

Nearby Providers

Other providers in the same ZIP code as Pike County Health Dept Epsdt Cm, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Henderson Memorial Association	AL	Clinic/Center	$0	$6.5M
Emedical Group Inc	AL	Health Service Clinic/Center	$0	$5.8M
Haynes Ambulance Of Troy LLC	AL	Land Ambulance	$1.2M	$3.7M
Troy Hospital Health Care Authority	AL	Rural Acute Care Hospital	$0	$2.2M
Pike County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.6M
Sanjeev Singh	AL	Foot Surgery Podiatrist	$116.8K	$3.8K
Robert Liljeberg	AL	Orthopaedic Surgery Physician	$113.1K	$0
David Hamlin	AL	Optometrist	$37.2K	$0
Thomas Dunn	AL	Optometrist	$33.9K	$0
Richard Schloemer	AL	Surgery Physician	$31.7K	$0

Pike County Health Dept Epsdt Cm — Billing Profile & Reimbursement Data

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Pike County Health Dept Epsdt Cm — Billing Profile & Reimbursement Data

Sign up for Pike County Health Dept Epsdt Cm — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References