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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Pemiscot County Memorial Hospital (NPI 1437179710)

Field	Value
Entity Type	Organization
Organization	Pemiscot County Memorial Hospital
Address	946 E Reed St
City	Hayti
State	MO
ZIP	63851
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

125 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	4,440	$210	$935.8K
Y7506	N/A	14,520	$60	$813.1K
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.	4,430	$150	$665.1K
X4011	N/A	4,670	$140	$648.4K
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.	5,820	$110	$645.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	12,990	$40	$571.6K
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.	20,670	$20	$454.7K
X4006	N/A	2,090	$210	$436.2K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	3,690	$120	$431.5K
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…	20,880	$20	$417.6K

Showing 1–10 of 125

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Pemiscot County Memorial Hospital — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

125 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	59	110	5,700	$340	$3.2M
Y7506	N/A	14	100	980	$250	$1.6M
X4006	N/A	8	50	370	$780	$969.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	51	90	1,850	$120	$384.1K
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.	75	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	28	110	2,100	$70	$364.3K
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.	34	240	1,740	$40	$353.4K
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…	39	320	980	$40	$352.7K
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.	104	950	120	$150	$288.2K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	9	20	740	$70	$279.4K

Showing 1–10 of 125

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pemiscot County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pemiscot County Memorial Hospital	MO	Rural Health Clinic/Center	$0	$6.5M
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
Abdullah Arshad	MO	Internal Medicine Physician	$1.1M	$50.8K
Steven Gubin	TN	Cardiovascular Disease Physician	$936.6K	$0
Ladonna Williams	MO	Psychiatric/Mental Health Nurse Practitioner	$879.5K	$2.2K
David Gubin	TN	Urology Physician	$613.8K	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Timothy Mcpherson	MO	Family Medicine Physician	$384.9K	$13.7K
Sergey Sorin	MO	Family Medicine Physician	$248.4K	$18.2K
Justin Bain	MO	Nephrology Physician	$263.8K	$0

Nearby Providers

Other providers in the same ZIP code as Pemiscot County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rayetta Smith Dba Smith And Associates Home Care	MO	Personal Care Attendant	$0	$11.5M
Cotoneaster Incorporated	MO	In Home Supportive Care Agency	$0	$6.2M
Extended Home Care, Inc.	MO	In Home Supportive Care Agency	$0	$3.4M
Lara Huffman	MO	Psychiatry Physician	$58.1K	$0

Pemiscot County Memorial Hospital — Billing Profile & Reimbursement Data

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Pemiscot County Memorial Hospital — 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