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.

Delta Pediatric Care (NPI 1437523511)

Field	Value
Entity Type	Organization
Organization	Delta Pediatric Care
Address	526 Fairview Ave
City	Greenville
State	MS
ZIP	38701
Taxonomy	Pediatric Skilled Nursing Facility
NPI Enumerated	November 30, 2015

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	14,070	$390	$5.4M
T2002	Non-emergency transportation; per diem	3,460	$80	$276.6K
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	240	$130	$32.4K

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

Delta Pediatric Care — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	11	20	22,420	$240	$5.9M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	13	20	1,030	$170	$434.6K
T2002	Non-emergency transportation; per diem	10	20	5,120	$40	$203.4K

Nearby Providers

Other providers in the same ZIP code as Delta Pediatric Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Delta Planning And Development District, Inc.	MS	Case Management Agency	$0	$35.6M
Prime Care Nursing	MS	Nursing Care Agency	$0	$7.2M
Delta Health System	MS	Rural Health Clinic/Center	$0	$6.6M
Keplere Institute Of Technology	MS	In Home Supportive Care Agency	$0	$4M
Theresa Skelton	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.8M
We Care Adult Day Center	MS	Adult Day Care Clinic/Center	$0	$2.5M
Divine Connection LLC	MS	Respite Care	$0	$2.4M
A&a Home Health Equipment, Inc.	MS	Customized Equipment (DME)	$0	$2.3M
Joseph Terracina	MS	Dermatology Physician	$995.1K	$38.3K
Regional Surgical Centre, Inc.	MS	Ambulatory Surgical Clinic/Center	$456.5K	$0

Delta Pediatric Care — Billing Profile & Reimbursement Data

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Delta Pediatric Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References