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.

Decatur Morgan Emergency Medicine (NPI 1316571615)

Field	Value
Entity Type	Organization
Organization	Decatur Morgan Emergency Medicine
Address	1201 7th St Se
City	Decatur
State	AL
ZIP	35601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 25, 2020

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	28,700	$50	$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.	34,550	$40	$1.3M
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.	5,710	$20	$102.7K
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…	1,200	$60	$70.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5,060	$1	$10.1K
99053	The provider renders overnight services at a 24 hour facility.	70	$0	$0
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	1,130	$0	$0
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	2,950	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	90	$0	$0

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

Decatur Morgan Emergency Medicine — 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

9 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.	21	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.	9	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.	112	230	5,160	$40	$474.1K
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…	10	60	270	$110	$94.3K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	50	120	770	$10	$27.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	36	170	890	$10	$25.2K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	2	50	80	$1	$510
99053	The provider renders overnight services at a 24 hour facility.	16	20	1,060	$1	$80
G9744	Patient not eligible due to active diagnosis of hypertension	23	30	260	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Decatur Morgan Emergency Medicine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Decatur Morgan Pediatrics	AL	Pediatrics Physician	$0	$3.6M
Bahador Tafazoli	AL	Sleep Medicine (Family Medicine) Physician	$106.1K	$0
Larry Sprouse	TN	Vascular Surgery Physician	$99.8K	$1.2K
Joseph Cook	AR	Family Medicine Physician	$49.7K	$35K
Philip Lavigne	AL	Emergency Medicine Physician	$75.9K	$0
Thomas Lockard	AL	Family Medicine Physician	$72.6K	$0
Jason Begue	TN	Emergency Medicine Physician	$60.8K	$0
Bobbie Bode	MO	Family Nurse Practitioner	$56.4K	$0
Daphne Berry	AL	Family Nurse Practitioner	$52.6K	$0
Barry Black	AL	Certified Registered Nurse Anesthetist	$15.6K	$0

Nearby Providers

Other providers in the same ZIP code as Decatur Morgan Emergency Medicine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hawkins Mccaghren Partnership	AL	General Practice Dentistry	$0	$13.5M
Encore Rehabilitation, Inc	AL	Physical Therapy Clinic/Center	$0	$8.3M
Sunbridge Home Health Care, Inc.	AL	In Home Supportive Care Agency	$0	$7.8M
H H Health System-morgan LLC	AL	General Acute Care Hospital	$0	$6.9M
Riverside Family Health LLC	AL	Family Nurse Practitioner	$0	$3.3M
Encore Rehabilitation, Inc.	AL	Physical Therapy Clinic/Center	$0	$2.6M
Hh Health System - Dmh Ambulance LLC	AL	Land Ambulance	$1.1M	$1.4M
Naveen Lobo	AL	Medical Oncology Physician	$2.4M	$0
Heather Shah	AL	Hematology & Oncology Physician	$1.8M	$0
Family Support Services, LLC	AL	Clinical Social Worker	$0	$1.8M

Decatur Morgan Emergency Medicine — Billing Profile & Reimbursement Data

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Decatur Morgan Emergency Medicine — 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