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.

Jefferson County Board Of Health (NPI 1336167196)

Field	Value
Entity Type	Organization
Organization	Jefferson County Board Of Health
Address	1400 6th Ave S
City	Birmingham
State	AL
ZIP	35233
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $12.2M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) operation in the available claims data. The absence of Medicare activity simplifies payer analysis but also means comparisons to national Medicare benchmarks are not applicable for this entity.

Revenue is highly concentrated: the precomputed top three Medicaid codes (99213, 99391, 99392) account for 62.1% of this provider’s total Medicaid revenue. Individually those codes generate $3.3M (99213, 27.8%), $2.3M (99391, 18.7%), and $1.9M (99392, 15.6%), signaling dependence on a small set of E/M and preventive service lines.

The code mix and dollar concentrations indicate the provider functions primarily as a preventive and primary care hub for children and established patients. High-revenue preventive codes (99391, 99392, 99393, 99394) together with large volumes of vaccination codes (90686, 90670, 90698, 90633, 90651, 90744) support an operational profile centered on well visits, immunizations, and routine population‑health services.

On competitive standing within Alabama, the provider is a strong statewide performer for several top codes: 99213 ranks #73 of 1988 providers (96th percentile) and is described as notably above typical state volume, while 99391 ranks #15 of 270 providers (95th percentile) and is also notably above typical state volume. Several other preventive and immunization codes (e.g., 90686 at the 98th percentile, 90651 at the 96th percentile, S4993 at the 94th percentile) are likewise listed as notably above typical state volume, underlining a leading role in routine public‑health services.

Not all high-volume codes are outliers: 99392 (rank #25 of 299, 92th percentile) and several pediatric well-visit codes such as 99393 (rank #21 of 320, 94th percentile) are characterized as typical or unremarkable in-state volumes, indicating that while the provider is strong in preventive care overall, some components align with common state patterns rather than being exceptional.

The procedural mix includes both low‑ and moderate‑intensity established E/M codes and some high‑intensity new‑patient visits, suggesting a breadth of encounter complexity. For example, 99213 (28.5K claims) is the largest single driver, 99214 contributes $892.8K, and 99205 appears with 614 claims and $135.1K in revenue (rank #15 of 155, 91th percentile), indicating the provider occasionally manages higher‑complexity new patient evaluations.

Care coordination and case‑management activity are visible but less revenue‑dominant: G9008 (coordinated care fee) generated $147.4K (1.2% of Medicaid revenue) and ranks #47 of 173 (73th percentile), while G9004 (risk‑adjusted initial) is notable at rank #3 of 34 (94th percentile) with $36.2K. These items point to delivered care‑management services consistent with a public health agency role rather than a fee‑for‑service specialty practice.

The provider has been enumerated with an NPI since 2006-07-18 (~20 years ago), indicating long tenure and likely institutional stability in delivering Medicaid preventive and public‑health services in Birmingham, AL. Combined with the concentration in routine preventive codes and strong state‑level volumes for vaccines and family‑planning supplies (J1050, S4993), the profile fits a sustained public‑health clinic model focused on well visits, immunizations, and population preventive care.

Medicaid: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	28,490	$120	$3.3M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,960	$230	$2.3M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,050	$230	$1.9M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,960	$240	$1.4M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,090	$240	$970K
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…	4,400	$200	$892.8K
J1050	Injection, medroxyprogesterone acetate, 1 mg	6,710	$50	$349K
G9008	Coordinated care fee, physician coordinated care oversight services	3,350	$40	$147.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	610	$220	$135.1K
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…	860	$80	$69K

Showing 1–10 of 61

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

Jefferson County Board Of Health — 7 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

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9008	Coordinated care fee, physician coordinated care oversight services	47	170	1,500	$100	$860K
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…	350	1,990	680	$60	$201.7K
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…	73	1,990	560	$40	$185.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	15	270	1,360	$60	$159.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	25	300	1,160	$50	$147.8K
T1017	Targeted case management, each 15 minutes	65	70	2,130	$50	$117.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	320	640	$50	$98.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	157	230	410	$40	$59.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	14	300	330	$50	$56.3K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	13	260	910	$20	$47.2K

Showing 1–10 of 61

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jefferson County Board Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$11.7M
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$10.7M

Nearby Providers

Other providers in the same ZIP code as Jefferson County Board Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	AL	Clinical Medical Laboratory	$60.5M	$289.1M
University Of Alabama Health Services Foundation, PC	AL	Pediatrics Physician	$0	$79.6M
University Of Alabama Health Services Foundation, PC.	AL	Multi-Specialty Clinic/Center	$0	$77.1M
The Children's Hospital Of Alabama	AL	Children's Hospital	$0	$59M
M&o Enterprises LLC	AL	Home Infusion Therapy Pharmacy	$0	$31.2M
Medical Resources, Inc	AL	Oxygen Equipment & Supplies (DME)	$0	$23.6M
Southern Lab Partners, LLC	AL	Clinical Medical Laboratory	$5.4M	$14.4M
University Of Alabama Health Services Foundation PC	AL	Clinic/Center	$0	$18.6M
The Children's Hospital Of Alabama	AL	Psychologist	$0	$12M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$7.5M

Jefferson County Board Of Health — Billing Profile & Reimbursement Data

Sign up for Jefferson County Board Of Health — Billing Profile & Reimbursement Data policy alerts

Jefferson County Board Of Health — Billing Profile & Reimbursement Data

Sign up for Jefferson County Board Of Health — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References