Hattiesburg Clinic, PA — Billing Profile & Reimbursement Data
NPI 1437182748 · Waynesboro, MS · End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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Hattiesburg Clinic, PA is a end-stage renal disease (esrd) treatment clinic/center provider located in Waynesboro, Mississippi. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Hattiesburg Clinic, PA |
| Address | 950 Matthew Dr |
| City | Waynesboro |
| State | MS |
| ZIP | 39367 |
| Taxonomy | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| NPI Enumerated | July 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.3M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90999 | Use 90999 to report dialysis services or procedures that do not have a specific code. | 28,910 | $40 | $1.1M |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 3,850 | $30 | $123.2K |
| J0604 | Cinacalcet, oral, 1 mg, (for esrd on dialysis) | 760 | $20 | $16.8K |
| J1756 | Injection, iron sucrose, 1 mg | 3,660 | $1 | $11K |
| 90682 | This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not… | 10 | $20 | $290 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 10 | $10 | $170 |
| A4657 | Syringe, with or without needle, each | 10,000 | $0 | $0 |
| G0008 | Administration of influenza virus vaccine | 90 | $0 | $0 |
| J0606 | Injection, etelcalcetide, 0.1 mg | 5,590 | $0 | $0 |
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90999 | Use 90999 to report dialysis services or procedures that do not have a specific code. | 54 | 100 | 32,900 | $40 | $1.5M |
| J0604 | Cinacalcet, oral, 1 mg, (for esrd on dialysis) | 39 | 50 | 2,520 | $30 | $102.5K |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 32 | 90 | 2,980 | $20 | $82.1K |
| J1756 | Injection, iron sucrose, 1 mg | 62 | 100 | 5,020 | $1 | $15.2K |
| A4657 | Syringe, with or without needle, each | 59 | 100 | 19,980 | $1 | $4.3K |
| J0606 | Injection, etelcalcetide, 0.1 mg | 6 | 20 | 3,600 | $1 | $2.1K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 383 | 400 | 90 | $1 | $940 |
| 90682 | This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not… | 59 | 70 | 20 | $10 | $340 |
| G0008 | Administration of influenza virus vaccine | 128 | 300 | 70 | $1 | $80 |
Nearby Providers
Other providers in the same ZIP code as Hattiesburg Clinic, PA, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wayne General Hospital | MS | General Acute Care Hospital | $0 | $10.9M |
| Wayne General Hospital | MS | Rural Health Clinic/Center | $0 | $3.8M |
| Wayne General Hospital | MS | Rural Health Clinic/Center | $0 | $1.5M |
| Charles Stokley | MS | Family Medicine Physician | $291.5K | $8.3K |
| Brittney Coaker | MS | Chiropractor | $41.8K | $0 |
| Douglas Blackledge | MS | Anesthesiology Physician | $34.7K | $0 |
| Samuel White | MS | Certified Registered Nurse Anesthetist | $11.8K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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