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.

Children's International, LLC (NPI 1336680529)

Children's International, LLC is a primary care clinic/center provider located in Bay St Louis, Mississippi. This profile covers 0 Medicare and 43 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	Children's International, LLC
Address	618 Blue Meadow Rd
City	Bay St Louis
State	MS
ZIP	39520
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	March 20, 2017

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

43 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…	12,160	$70	$887.3K
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…	2,010	$80	$150.7K
99215	The provider sees an established 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…	1,480	$80	$124.2K
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…	1,270	$80	$99.2K
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…	910	$80	$76.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	600	$60	$37.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	550	$70	$36K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	220	$30	$7.2K
99381	The provider performs a well–baby visit for a child under the age of one.	30	$90	$2.3K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	30	$10	$340

Showing 1–10 of 43

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

Children's International, LLC — 0 of 10 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

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	197	1,910	930	$60	$278.7K
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…	92	170	1,210	$90	$275K
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…	92	220	470	$90	$212.2K
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…	528	1,670	720	$50	$196.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	340	670	230	$60	$89.5K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	109	180	180	$40	$78.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	71	230	190	$80	$74.6K
99215	The provider sees an established 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…	30	270	130	$60	$57.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	57	230	140	$90	$45.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	208	250	270	$30	$41.8K

Showing 1–10 of 43

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's International L.L.C.	LA	Pediatrics Physician	$0	$30.9M
Children's International, LLC	LA	Rural Health Clinic/Center	$0	$5.4M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$4.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.5M
Laconda Davenport	AZ	Family Nurse Practitioner	$16.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Medical Center - Hancock LLC	MS	General Acute Care Hospital	$0	$16.8M
James Rahaim	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M
Covenant Laboratories	MS	Clinical Medical Laboratory	$3.6M	$350.8K
Ochsner Mississippi, LLC	MS	Internal Medicine Physician	$0	$3.2M
J Austin Rahaim, Dmd, Ms, PA	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.6M
Hancock Emergency Group LLC	MS	Emergency Medicine Physician	$0	$2M
Coastal Family Health Center, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$1.5M
Matthew Brennan	MS	General Practice Physician	$1.4M	$0
Hancock Womens Center PA	MS	Gynecology Physician	$0	$1.2M
Matthew Capo	MS	Physical Therapist	$193.1K	$0

Children's International, LLC — Billing Profile & Reimbursement Data

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Children's International, LLC — 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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