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.

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (NPI 1417222720)

Field	Value
Entity Type	Organization
Organization	The Health Care Authority For Baptist Health, An Affiliate Of Uabhs
Address	4145 Carmichael Rd
City	Montgomery
State	AL
ZIP	36106
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	March 20, 2012

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 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…	18,190	$30	$582.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	12,980	$10	$129.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	14,830	$10	$118.6K
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…	1,420	$50	$75.4K
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…	1,230	$30	$32K
84466	The lab analyst performs a test to measure the amount of transferrin in patient blood.	1,020	$10	$13.3K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	830	$10	$11.6K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	1,050	$10	$10.4K
82746	The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…	830	$10	$9.1K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	1,030	$10	$6.2K

Showing 1–10 of 17

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

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs — 1 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	76	1,990	680	$60	$201.7K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	89	120	170	$160	$200.7K
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…	39	330	140	$240	$197.4K
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…	777	1,990	560	$40	$185.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	37	200	2,000	$10	$105.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	48	370	1,540	$10	$65K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	23	80	160	$10	$43.1K
82746	The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…	15	60	150	$10	$32.1K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	20	130	250	$10	$16.7K
83615	The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…	8	20	470	$1	$13.3K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Health Care Authority For Baptist Health, An Affiliate Of Uabhs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore Hematology Oncology Associates PC	NY	Specialist	$0	$61.9M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$16.7M
Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$12M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Internal Medicine Physician	$0	$7.5M
The Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$5.2M
Scott Sims	AL	Cardiovascular Disease Physician	$472.4K	$0
James Davies	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$397.7K	$0
Paul Moore	AL	Interventional Cardiology Physician	$387K	$0
Wynne Crawford	AL	Clinical Cardiac Electrophysiology Physician	$384.2K	$0
Amy Cooper	AL	Cardiovascular Disease Physician	$271K	$0

Nearby Providers

Other providers in the same ZIP code as The Health Care Authority For Baptist Health, An Affiliate Of Uabhs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Hospital & Clinic, Inc.	AL	General Acute Care Hospital	$0	$8.9M
Associated Psychologists LLC	AL	Clinical Psychologist	$0	$2.7M
Govil Health LLC	AL	Pediatrics Physician	$0	$2.6M
All About Kids Inc	AL	Pediatrics Physician	$0	$2.4M
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$1.8M
Gift Of Life Foundation	AL	Contractor	$0	$1.3M
Bush Pediatric Dentistry	AL	Pediatric Dentistry	$0	$1.2M
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$1.2M
Integrated Care-alabama LLC	AL	Emergency Medicine Physician	$0	$1.1M
Jackson Hospital And Clinic, Inc.	AL	Emergency Medicine Physician	$0	$1.1M

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs — Billing Profile & Reimbursement Data

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The Health Care Authority For Baptist Health, An Affiliate Of Uabhs — 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