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.

St Dominic-jackson Memorial Hospital (NPI 1306876065)

Field	Value
Entity Type	Organization
Organization	St Dominic-jackson Memorial Hospital
Address	969 Lakeland Dr
City	Jackson
State	MS
ZIP	39216
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$37.1M
Medicare	$0

Key Findings

ST DOMINIC-JACKSON MEMORIAL HOSPITAL is effectively a Medicaid-centric provider: it has no Medicare billing on file and reports Total Medicaid revenue of $37.1M, indicating that Medicaid is the primary public-payer revenue stream for this facility. The absence of Medicare billing suggests the provider’s hospital-level reimbursement footprint is concentrated in state Medicaid rather than dual public-payer exposure.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes (99284, G0378, 99285) together account for 43.0% of this provider’s total Medicaid revenue, with 99284 contributing $3.9M (15.3%), G0378 $3.7M (14.6%), and 99285 $3.3M (13.1%). This concentration implies that changes in emergency department or observation reimbursement policies could disproportionately affect the hospital’s topline.

Clinical and operational mix is strongly emergency-department and observation driven: high-volume ED E/M codes appear near the top of the payer mix (99284: 29.5K claims, 99285: 21.6K claims, 99283: 20.4K claims) alongside a large observation-hours footprint (G0378: 16.2K claims). Together these codes indicate a busy ED with substantial use of hospital observation services rather than short inpatient admissions, consistent with the hospital’s top revenue drivers.

ST DOMINIC-JACKSON also shows a meaningful infusion/oncology and supportive-care service line: chemotherapy/infusion codes such as 96413 (12.3K claims, $1.3M; rank #3 of 26, 92th percentile), 96374 (19K claims, $1.2M), 96365 (15.3K claims, $1.1M), and high-cost drug J9271 (961 claims, $698.6K; rank #2 of 14) are all material contributors. Several infusion-related procedure codes and biologic drug codes rank high in-state, indicating that oncology treatment and outpatient infusion capacity are important parts of the hospital’s case mix.

Diagnostic imaging, cardiac testing, and radiation services contribute across specialties and show above-typical state volumes: CT abdomen/pelvis 74177 ($888.9K; rank #10 of 112, 92th percentile), CT head 70450 ($426.6K; rank #9 of 145, 94th percentile), PET/CT 78815 ($493K; rank #4 of 25) and advanced radiation delivery 77412 ($398.2K; rank #1 of 7, 100th percentile). Cardiac testing like 93005 (43.1K claims, $604K; rank #4 of 113, 97th percentile) and echo 93306 ($421K) further underscore broad acute-care diagnostic capacity that supports both ED and specialty services.

Laboratory throughput is an operational standout, with basic testing volumes far above peers — CBC 85025 appears as an extreme outlier (97.3K claims, $389.3K; rank #7 of 435, 99th percentile) and blood-type and antibody testing (86900, 86885) also rank in high percentiles. This pattern aligns with the high ED and inpatient/observation activity and signals a sustained need for inpatient/lab infrastructure and staffing to support high patient throughput.

The provider’s competitive posture in-state is mixed: it is a dominant or notable statewide participant for several specific services (for example, G0378 ranks #3 of 72, 97th percentile; 96366 and 77412 both rank #1 in-state at the 100th percentile), while its ED E/M codes (99284 rank #19 of 227, 92th percentile; 99285 rank #17 of 175, 91th percentile) are high-volume but characterized as typical relative to many peers. In other words, the hospital stands out as a leader for certain observation, infusion, and advanced therapy delivery codes while its ED volumes are large but not uniquely outsized compared with many other in-state hospitals.

The organization is long-established: its NPI was enumerated on 2006-07-05 (~20 years ago), which suggests sustained operational presence in the market. Coupled with a Medicaid revenue base of $37.1M and no Medicare billing, this tenure indicates a mature, Medicaid-focused hospital profile that would be sensitive to state Medicaid policy or network changes affecting emergency, observation, infusion, and high-throughput lab services.

Medicaid: Complete Services Breakdown

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

446 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.	29,460	$130	$3.9M
G0378	Hospital observation service, per hour	16,190	$230	$3.7M
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.	21,600	$160	$3.3M
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.	20,450	$100	$2M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	12,280	$110	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	18,980	$60	$1.2M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	15,300	$70	$1.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,870	$110	$888.9K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	27,850	$30	$724.2K
J9271	Injection, pembrolizumab, 1 mg	960	$730	$698.6K

Showing 1–10 of 446

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

St Dominic-jackson Memorial Hospital — 8 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

446 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	2	10	390	$3,870	$2M
G0378	Hospital observation service, per hour	3	70	1,480	$370	$1.4M
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.	19	230	3,260	$120	$1.4M
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.	44	220	5,690	$100	$1.2M
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.	17	180	3,000	$140	$1.1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	3	30	5,050	$120	$762K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9	90	4,540	$90	$665.4K
J2505	Injection, pegfilgrastim, 6 mg	3	10	220	$1,630	$588.9K
J0897	Injection, denosumab, 1 mg	10	20	960	$500	$531.9K
J9299	Injection, nivolumab, 1 mg	2	10	160	$1,910	$471.7K

Showing 1–10 of 446

Nearby Providers

Other providers in the same ZIP code as St Dominic-jackson Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$507.2M
Central Ms. Planning & Dev. District, Inc.	MS	Case Management Agency	$0	$47.2M
Afnb Home Care LLC	MS	In Home Supportive Care Agency	$0	$25.6M
Ms Children's Home Society	MS	Community/Behavioral Health Agency	$0	$19.4M
Mississippi State Department Of Health	MS	Community/Behavioral Health Agency	$0	$14.9M
Ms State Department Of Health	MS	Community/Behavioral Health Agency	$0	$14.5M
Guangzhi Qu	MS	Hematology & Oncology Physician	$9.1M	$0
Mississippi Asthma & Allergy Clinic PA	MS	Allergy & Immunology Physician	$0	$8.2M
Mississippi Methodist Hospital & Rehabilitation Center, Inc.	MS	General Acute Care Hospital	$0	$5.7M
Jerrick Rose	MS	Pediatric Dentistry	$0	$4.6M

St Dominic-jackson Memorial Hospital — 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