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.

Christopher Douglas (NPI 1427251511)

Field	Value
Entity Type	Individual
Organization	Christopher Douglas
Address	415 S 28th Ave
City	Hattiesburg
State	MS
ZIP	39401
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	June 7, 2007

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider’s billing footprint is effectively single‑payer Medicare: total Medicare revenue is $1.7M and there is no Medicaid billing on file. The absence of any Medicaid claims indicates the practice’s revenue and operational planning are driven almost entirely by Medicare beneficiaries rather than a mixed payer panel. This limits visibility into lower‑income payer segments and suggests Medicare reimbursement dynamics will dominate financial performance.

Revenue is highly concentrated in a small number of imaging and procedure codes: the precomputed top‑3 codes account for 64.6% of total Medicare revenue. The largest single contributor is 78431 at $806.1K (49.2% of Medicare revenue), followed by 93306 at $142K (8.7%) and 37225 at $110.2K (6.7%). This concentration indicates that a few high‑value cardiac imaging and procedure lines drive the majority of the practice’s Medicare income.

Clinical mix and service line implications center on advanced cardiac imaging and interventional cardiology. The dominant code 78431 (PET myocardial imaging) produced $806.1K in revenue and ranks #27 of 1377 providers nationally (98th percentile; typical, unremarkable volume for this code), pointing to a strong nuclear cardiology capability and throughput in PET myocardial perfusion studies. Complementing that are frequent echo and cath codes, indicating a hybrid practice model that combines noninvasive imaging with interventional procedure capacity.

Outpatient diagnostic imaging and clinic throughput are unusually high for several codes, signaling a high‑volume ambulatory operational model. 93306 (echo) generated $142K on 1.3K claims and ranks #136 of 24624 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), while 99214 produced $108.5K on 1.3K claims and ranks #5756 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). These patterns reflect heavy outpatient clinic and testing volumes that likely support a large Medicare patient panel receiving recurrent diagnostic evaluation.

Interventional and procedural services are a meaningful secondary revenue stream with mixed national competitiveness. Code 37225 contributed $110.2K (20 claims) and ranks #418 of 715 providers nationally (39th percentile; typical, unremarkable volume for this code), whereas coronary intervention codes such as 92928 ($36K, 91 claims) rank #166 of 5112 providers nationally (97th percentile; notably above typical national volume for this code). Imaging supervision and cath‑related codes like 93458 ($21.1K, 131 claims) also appear above typical national volume (ranks #289 of 7990 providers nationally, 96th percentile), indicating the practice performs and supervises a substantial number of invasive cardiology procedures in addition to imaging.

High throughput for monitoring and ECG services points to an operational emphasis on diagnostics and remote/device follow‑up. Claims volumes include 93005 (2K claims, $8.2K revenue) which ranks #3 of 6885 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), 93000 (1.6K claims, $15.8K) ranking #383 of 71016 providers nationally (99th percentile; extreme outlier), and device/remote monitoring lines such as G2066 (726 claims, $18.2K) and 93298 (645 claims, $12.3K) that sit in high national percentiles. This combination suggests streamlined testing workflows and a high volume of brief, billable diagnostic encounters that support larger imaging and interventional activity.

Competitive standing is mixed but includes several national outliers on volume‑driven codes: the provider is an extreme outlier on 93306 and 99214 (both 99th percentile with descriptions labeling them “extreme outlier, far above typical national volume for this code”), and is notably above typical on codes such as 92928 and J2785 (99th percentile; notably above typical national volume for this code). At the same time, some high‑revenue procedural codes (like 37225 and 33361) are at typical or mid‑range national ranks, indicating the provider is a dominant high‑throughput operator in noninvasive diagnostics and clinic E/M but a more modest participant on certain specialized interventional procedures.

The provider has established tenure in the NPI file, enumerated since 2007-06-07 (~19 years ago), which aligns with the observed mature mix of advanced imaging, procedure supervision, and high outpatient testing volume. Longstanding enumeration combined with concentrated Medicare revenue and no Medicaid billing suggests the practice is built around Medicare‑aged cardiovascular care and established diagnostic/interventional workflows rather than expansion into Medicaid or mixed‑payer service lines. This history supports continuity in relationship‑based referrals and high recurring diagnostic volumes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	480	$1,670	$806.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,290	$110	$142K
37225	N/A	20	$5,510	$110.2K
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…	1,290	$80	$108.5K
J2785	Injection, regadenoson, 0.1 mg	2,060	$40	$88.6K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	500	$130	$62.6K
78434	The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…	480	$130	$60.7K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	90	$400	$36K
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…	280	$110	$31K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	520	$50	$24.8K

Showing 1–10 of 54

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Christopher Douglas — 13 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. state median

54 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37225	11	20	20	$3,490	$118.5K
78431	1	40	40	$1,230	$85.9K
33285	4	30	20	$1,900	$62.5K
A9555	1	40	120	$410	$53.1K
93306	2	210	290	$80	$27.8K
78434	1	10	160	$120	$23.8K
J2785	1	70	410	$40	$22K
99214	121	4,110	170	$70	$21.9K
99233	797	970	110	$90	$21.7K
93229	9	20	20	$560	$19.1K

Showing 1–10 of 54

Related Providers

Other providers that share a Tax Identification Number (TIN) with Christopher Douglas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$81.6M
Hattiesburg Clinic PA	MS	Multi-Specialty Clinic/Center	$0	$59.5M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$21.7M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$10.9M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$9.5M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$7.9M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Hattiesburg Clinic PA	MS	Ambulatory Surgical Clinic/Center	$4.5M	$2.4M
Lowery A. Woodall Outpatient Surgery Facility, LLC	MS	Ambulatory Surgical Clinic/Center	$446.4K	$6.1M
Walthall General Hospital	MS	Critical Access Hospital	$0	$6.2M

Nearby Providers

Other providers in the same ZIP code as Christopher Douglas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region 12 Commission On Mental Health & Retardation Pine Belt Men	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$108.3M
Doves Home Care	MS	Home Health Agency	$0	$12M
Neighborhood Healthcare Providers	MS	Internal Medicine Physician	$0	$10.9M
Top Choice Healthcare	MS	In Home Supportive Care Agency	$0	$6M
Hattiesburg Clinic PA	MS	Clinical Medical Laboratory	$2.2M	$3.3M
Relias Emergency Medicine Specialists Of Hattiesburg LLC	MS	Emergency Medicine Physician	$0	$5M
Southern Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$4.7M	$103.6K
South Mississippi Emergency Physicians PA	MS	Emergency Medicine Physician	$0	$3.2M
Hattiesburg Clinic PA	MS	Obstetrics & Gynecology Physician	$0	$2.8M
Southern Mississippi Neonatology, PA	MS	Neonatal-Perinatal Medicine Physician	$0	$2.7M

Christopher Douglas — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References