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.

Marshall Medical Center South (NPI 1306914882)

Field	Value
Entity Type	Organization
Organization	Marshall Medical Center South
Address	2505 Us Hwy 431 N
City	Boaz
State	AL
ZIP	35957
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

127 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.	19,730	$60	$1.1M
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.	17,180	$40	$635.7K
D9420	N/A	620	$260	$161.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	19,240	$10	$134.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	14,570	$10	$131.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	8,250	$20	$123.8K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	3,180	$20	$47.8K
87086	Culture, bacterial; quantitative, colony count, urine.	4,320	$10	$43.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2,550	$20	$38.2K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	2,280	$20	$36.5K

Showing 1–10 of 127

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

Marshall Medical Center South — 0 of 25 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

127 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17	40	1,020	$40	$865.2K
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.	44	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.	167	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.	46	230	5,160	$40	$474.1K
A0425	Ground mileage, per statute mile	84	130	3,610	$40	$394K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	26	40	430	$10	$391.5K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	72	100	1,850	$90	$379.6K
80074	The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody.	9	10	430	$20	$282.5K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	61	80	2,590	$40	$248.6K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	28	80	300	$10	$159.1K

Showing 1–10 of 127

Related Providers

Other providers that share a Tax Identification Number (TIN) with Marshall Medical Center South, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hh Health System - Marshall LLC	AL	General Acute Care Hospital	$0	$6.9M
Hh Health System - Marshall LLC	AL	Land Ambulance	$967.5K	$952.4K
Marshall Medical Center North	AL	Emergency Medicine Physician	$0	$1.9M
Enrico Gaspar	AL	Internal Medicine Physician	$108.8K	$0
Rommel Go	AL	Family Medicine Physician	$97.5K	$0

Nearby Providers

Other providers in the same ZIP code as Marshall Medical Center South, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$9.1M
B & A Childrens Clinic PC	AL	Pediatrics Physician	$0	$8.1M
El Bahesh, Muhammad H. Md,pc	AL	Pediatrics Physician	$0	$4.6M
Go Medical Corporation PC	AL	Internal Medicine Physician	$0	$4.2M
United Doctors Family Medical Center LLC	AL	Internal Medicine Physician	$0	$1.5M
Marshall Medical Center South	AL	Ambulance	$0	$1.3M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Optometrist	$0	$1.1M
Alan Willis	AL	Vascular Surgery Physician	$172.4K	$0
Kathleen Evans	AL	Cardiovascular Disease Physician	$154.1K	$0
Mark Turk	AL	Optometrist	$26.5K	$112.2K

Marshall Medical Center South — Billing Profile & Reimbursement Data

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Marshall Medical Center South — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References