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.

Golden Triangle Urgent Care LLC (NPI 1346592045)

Golden Triangle Urgent Care LLC is a rural health clinic/center provider located in Starkville, Mississippi. This profile covers 0 Medicare and 30 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	Golden Triangle Urgent Care LLC
Address	500 Russell St Ste 3
City	Starkville
State	MS
ZIP	39759
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 5, 2012

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

30 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…	21,090	$60	$1.2M
99204	The provider sees a new 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 provider…	3,440	$70	$244.4K
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…	5,850	$40	$239.6K
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…	4,050	$50	$182.2K
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.	19,480	$10	$155.8K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	6,690	$20	$140.6K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	13,390	$10	$133.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	10,270	$10	$82.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	3,900	$10	$35.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	400	$20	$9.1K

Showing 1–10 of 30

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

Golden Triangle Urgent Care LLC — 7 of 23 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

30 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…	363	1,910	930	$60	$278.7K
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…	42	1,670	720	$50	$196.4K
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…	221	240	880	$20	$96.5K
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,…	538	670	230	$60	$89.5K
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…	156	270	130	$60	$57.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	120	750	400	$20	$52.5K
99204	The provider sees a new 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 provider…	16	490	90	$70	$49.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	212	440	380	$30	$49.4K
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.	24	620	570	$10	$38K
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…	20	680	100	$50	$34.8K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Convenient Care Clinic, LLC	MS	Family Nurse Practitioner	$0	$2.9M
Molly Sullivan	MS	Family Nurse Practitioner	$1.9M	$0
William Haire	MS	Family Medicine Physician	$149.8K	$254K
Michael Scott	MS	Internal Medicine Physician	$342K	$0
Edwin Linder	MS	Family Medicine Physician	$333.3K	$20
John Stanback	MS	Family Medicine Physician	$226.3K	$0
Cary Mettetal	MS	Family Medicine Physician	$186.3K	$0
Cristin Cooper	MS	Family Nurse Practitioner	$118.1K	$0
Mary Miller	MS	Family Nurse Practitioner	$112.3K	$0
Sharon Mitchell	MS	Internal Medicine Physician	$105.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Triangle Planning & Development District Inc	MS	Case Management Agency	$0	$25.9M
Oktibbeha County Hospital	MS	Rural Acute Care Hospital	$0	$19.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$16.1M
Starkville Pediatric Clinic	MS	Pediatrics Physician	$0	$6M
Golden Triangle Planning & Development District Inc	MS	Homemaker	$0	$5.1M
Hometown Healthcare Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Ot 4 Kidz, LLC	MS	Occupational Therapist	$0	$4.4M
Children's Rehab	MS	Physical Therapy Clinic/Center	$0	$3.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$3.7M
Speech Therapy For Kids, LLC	MS	Speech-Language Pathologist	$0	$3.3M

Golden Triangle Urgent Care LLC — Billing Profile & Reimbursement Data

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Golden Triangle Urgent Care 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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