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.

Meridian Medical Associates, PA (NPI 1316051766)

Meridian Medical Associates, PA is a internal medicine physician provider located in Meridian, Mississippi. This profile covers 0 Medicare and 45 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	Meridian Medical Associates, PA
Address	2024 15th St Fl 2
City	Meridian
State	MS
ZIP	39301
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 19, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,930	$30	$431.9K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	2,990	$120	$361.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	17,740	$20	$354.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4,390	$60	$272.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,830	$20	$139.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	3,970	$20	$91.2K
99203	The provider sees a new 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 provider…	1,420	$50	$70.8K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	960	$50	$43.3K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	5,510	$10	$38.6K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	590	$70	$38.4K

Showing 1–10 of 45

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

Meridian Medical Associates, PA — 3 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	4	10	590	$30	$345.9K
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…	988	1,910	930	$60	$278.7K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	21	30	2,870	$50	$273.5K
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…	77	1,670	720	$50	$196.4K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	5	30	70	$380	$191.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	18	130	320	$30	$139.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	17	280	680	$20	$102K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	161	240	880	$20	$96.5K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	4	20	60	$300	$92.3K
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.	156	230	1,870	$10	$70.1K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Plavac	MS	Cardiovascular Disease Physician	$1M	$0
Randall Joransen	MS	Cardiovascular Disease Physician	$510.4K	$0
John Boyd	MS	Cardiovascular Disease Physician	$381.6K	$0
Muzaffar Rahat	MS	Internal Medicine Physician	$349.4K	$0
Richmond Alexander	MS	Pulmonary Disease Physician	$319.5K	$0
Randall Hicks	MS	Nephrology Physician	$271.6K	$0
Douglas Phillips	MS	Family Medicine Physician	$226.5K	$0
Mark Phillips	MS	Urology Physician	$162.3K	$0
William Thaggard	MS	Gastroenterology Physician	$155.9K	$0
Kary Whitehead	MS	Sleep Medicine (Internal Medicine) Physician	$106.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson Regional Medical Center	MS	General Acute Care Hospital	$0	$32.5M
Rush Medical Foundation	MS	General Acute Care Hospital	$0	$29.4M
Meridian Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$9.3M
Lauderdale County Ems District	MS	Ambulance	$2.1M	$6.4M
Southern Home Private Care LLC	MS	Homemaker	$0	$6M
Kevin Douglas	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.9M
Douglas Orthodontics PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Anderson Regional Medical Center	MS	Rural Health Clinic/Center	$0	$5.4M
Laird Hospital, Inc	MS	Rural Health Clinic/Center	$0	$5.3M
Medical Foundation, Inc.	MS	Clinical Medical Laboratory	$1M	$4.2M

Meridian Medical Associates, PA — Billing Profile & Reimbursement Data

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Meridian Medical Associates, PA — 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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