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.

Southwest Mississippi Regional Medical Center (NPI 1407805971)

Field	Value
Entity Type	Organization
Organization	Southwest Mississippi Regional Medical Center
Address	215 Marion Ave
City	Mccomb
State	MS
ZIP	39648
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$46.6M
Medicare	$0

Key Findings

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER reports no Medicare billing on file and $46.6M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider in the available claims data. This single-payer orientation indicates that Medicaid reimbursement dynamics and utilization patterns will disproportionately affect the facility’s topline compared with peers that have mixed Medicare/Medicaid streams.

Revenue is highly concentrated in a small set of emergency and observation services: the precomputed top three Medicaid codes (99283, 99284, G0378) account for 43.3% of the provider’s total Medicaid revenue. Individually those codes generated $7.6M (23.6%), $4.3M (13.4%), and $2M (6.3%) respectively, highlighting a dependency on ED E/M and hospital observation reimbursement.

Claim volumes and code mix point to a high-throughput emergency department and observation unit: 99283 had 54.4K claims, 99284 had 26.6K claims, 99285 had 9.3K claims, and G0378 had 6.8K claims. These volumes, together with the revenue concentration, suggest operational emphasis on acute unscheduled care and short-stay observation rather than elective or ambulatory-only services.

On competitive standing within Mississippi the provider is a leading venue for lower-acuity ED visits: 99283 ranks #6 of 223 providers in-state (98th percentile) and is labeled notably above typical state volume, while 99284 ranks #26 of 227 (89th percentile) and G0378 ranks #14 of 72 (82nd percentile). In sum, the facility is a major statewide participant for specific ED/observation codes, particularly 99283, but less dominant for higher-acuity ED codes where its ranks are lower.

Beyond emergency care, the hospital shows meaningful surgical and procedural pediatric/ENT volume: 69436 (tympanostomy) generated $1.5M from 1.4K claims and 42820 (tonsil/adenoid removal) generated $1.2M from 402 claims. These procedural revenues indicate an active operating-room schedule for ENT and likely pediatric cases that complements the ED-driven case mix.

Infusion, injection, and oncology-related services are also material: 96374 produced $1.3M (14.2K claims), 96365 produced $1.2M (11.9K claims), and 96372 produced $858.3K (25.2K claims) — with 96372 flagged as an extreme outlier (98th percentile) and 96365 noted as notably above typical state volume (93rd percentile). Chemotherapy code 96413 and drug J0897 appear in the top codes as well, totaling nontrivial revenue and signaling infusion/oncology capacity.

Diagnostic imaging and laboratory services support the acute care footprint: 74177 (CT A/P with contrast) generated $935.5K, 93306 (echocardiography) $727.3K, 87633 (respiratory viral NAAT) $754.7K, 71046/71045 (chest x‑rays) combined for over $1.1M, and 70450 (CT head) contributed $424.6K. These volumes are consistent with a hospital that manages a high volume of ED-presenting medical and traumatic conditions requiring imaging and rapid diagnostics.

The provider’s NPI was enumerated on 2006-05-10 (~20 years ago), indicating an established presence in the market; however, the combination of long tenure, single-payer Medicaid concentration ($46.6M with 43.3% of revenue from the top three codes), and several high-percentile code volumes suggests revenue vulnerability to changes in Medicaid policy, ED utilization, or reimbursement for the specific high-volume codes. Analysts should prioritize monitoring Medicaid policy shifts and utilization trends for ED, observation, infusion, and procedural ENT services when assessing financial and operational risk.

Medicaid: Complete Services Breakdown

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

403 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	54,430	$140	$7.6M
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.	26,600	$160	$4.3M
G0378	Hospital observation service, per hour	6,760	$300	$2M
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.	9,270	$220	$2M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,450	$1,050	$1.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14,230	$90	$1.3M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	400	$2,970	$1.2M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	11,930	$100	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	11,460	$90	$973.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,730	$140	$935.5K

Showing 1–10 of 403

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

Southwest Mississippi Regional Medical Center — 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

403 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	14	10	390	$3,870	$2M
G0378	Hospital observation service, per hour	14	70	1,480	$370	$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.	26	230	3,260	$120	$1.4M
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.	6	220	5,690	$100	$1.2M
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.	39	180	3,000	$140	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	6	30	70	$1,790	$891.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	13	30	5,050	$120	$762K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	15	90	4,540	$90	$665.4K
J2505	Injection, pegfilgrastim, 6 mg	7	10	220	$1,630	$588.9K
J0897	Injection, denosumab, 1 mg	9	20	960	$500	$531.9K

Showing 1–10 of 403

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Mississippi Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Southwest Mississippi Regional Medical Center	MS	Critical Access Hospital	$0	$2.6M
Southwest Mississippi Regional Medical Center	MS	Rural Health Clinic/Center	$0	$1.8M
Southwest Mississippi Regional Medical Center	MS	Rural Health Clinic/Center	$0	$1.2M
Gary Jones	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$829.4K	$0
Fisher Covin	MS	Cardiovascular Disease Physician	$303.2K	$0
Ronald Delrie	MS	Hematology & Oncology Physician	$291.9K	$0
Samuel Johnson	MS	Specialist	$276.2K	$0
Robert Dewitt	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$269.1K	$0
Paul Dykes	MS	Nephrology Physician	$239.6K	$0

Nearby Providers

Other providers in the same ZIP code as Southwest Mississippi Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mccomb Children's Clinic, Ltd	MS	Pediatrics Physician	$0	$13.2M
Sw Ms Mental Health Mental Retardation Commission	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Southwest Mississippi Mental Health Mental Retardation Commission	MS	Social Worker	$0	$5M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
The Summit Health & Rehab Services, Inc	MS	Physical Therapist	$0	$3.1M
Mississippi Dentistry For Children, Inc	MS	Pediatric Dentistry	$0	$2.8M
Lauren Jones	MS	Pediatric Dentistry	$0	$2.5M
Dween Muse	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.7M
Angel Wings Personal And Respite Care Home	MS	Respite Care	$0	$1.5M
Med-trans Corporation	MS	Air Ambulance	$591.6K	$714.8K

Southwest Mississippi Regional Medical Center — Billing Profile & Reimbursement Data

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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