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.

Jefferson County Board Of Health (NPI 1447285390)

Field	Value
Entity Type	Organization
Organization	Jefferson County Board Of Health
Address	601 West Blvd
City	Birmingham
State	AL
ZIP	35206
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file and total Medicaid revenue is $11.7M, so operational scale and payer exposure are concentrated in the state Medicaid program rather than dual Medicare/Medicaid participation. That single-payer orientation is important for contracting, network access, and any risk-based arrangements that would depend on Medicare volume.

Revenue is highly concentrated in a few outpatient/primary-care and preventive codes: the top three Medicaid codes (99213, 99391, 99392) together account for 57.5% of total Medicaid revenue, with 99213 generating $3.3M (29.1%) and 99391 and 99392 contributing $1.7M (15.1%) and $1.5M (13.2%) respectively. This concentration signals that a small set of visit types drives the majority of reimbursement.

The code mix points to a community public-health, primary-care, and pediatric preventive services model: 99213 (established outpatient E/M) and 99214/99205 E/M codes are prominent, and 99391/99392/99393/99394 preventive medicine codes together represent a large share of revenue, indicating routine well-child/well-adult visits, immunizations, and population-level preventive care are central to operations. Vaccination codes such as 90686, 90670, and 90651 also appear on the top list, reinforcing an immunization-heavy preventive workflow.

On competitive standing within Alabama Medicaid, the provider registers above-typical volumes for multiple codes: 99213 ranks #62 of 1988 providers (97th percentile) and is described as notably above typical state volume, while preventive pediatric codes like 99393 and adolescent code 99394 are in the 92nd–93rd percentiles. Several other codes show strong relative presence (for example, 99205 ranks #10 of 155, 94th percentile), which together indicate this board of health is a major statewide participant for routine outpatient and preventive visits.

There are distinct statistical outliers that highlight programmatic strengths: G9004 (coordinated care fee, risk adjusted low, initial) is ranked #1 of 34 providers (100th percentile) and is labeled notably above typical state volume, and vaccine codes such as 90686 and 90651 are also described as notably above typical state volume. These outlier rankings suggest the provider has above-average engagement in coordinated-care billing and high-volume vaccine delivery compared with in-state peers.

High-volume, low-reimbursement screening and preventive services appear to be operational drivers: 99173 (vision screening) and 92551 (basic hearing screen) account for 10.5K and 10.1K claims respectively but only $42K and $50.3K in revenue, indicating large throughput of simple, low-paid clinical services that likely support public-health screening programs. Those services inflate encounter counts while contributing modestly to overall Medicaid revenue.

Care coordination and related payments are a meaningful but smaller revenue slice: G9008 (coordinated care fee, physician coordinated care oversight) brought $176.8K (1.5% of Medicaid revenue) and G9004 contributed $48.1K (0.4%), together showing dedicated billing for coordination services in addition to face-to-face visits. The presence of these codes, plus T1017 (targeted case management), signals administrative billing tied to population management and case oversight rather than purely episodic care.

The provider has a long tenure in the NPI registry, enumerated 2006-07-11 (~20 years ago), consistent with an established public-health or welfare agency operating ongoing preventive and community-based services. That longevity, combined with the Medicaid-dominant revenue base and the preventive/vaccine-heavy code mix, supports interpreting this entity as a sustained, state-focused public-health service provider rather than a fee-for-service specialty clinic competing primarily for Medicare fee-for-service business.

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	31,890	$110	$3.3M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,820	$260	$1.7M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,010	$250	$1.5M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,200	$260	$1.3M
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…	7,250	$180	$1.3M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,730	$260	$958.6K
J1050	Injection, medroxyprogesterone acetate, 1 mg	6,380	$50	$306K
99205	The provider sees a new 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 provider…	730	$280	$207.3K
G9008	Coordinated care fee, physician coordinated care oversight services	3,840	$50	$176.8K
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…	9,120	$10	$63.8K

Showing 1–10 of 62

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

Jefferson County Board Of Health — 5 of 25 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9008	Coordinated care fee, physician coordinated care oversight services	39	170	1,500	$100	$860K
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…	216	1,990	680	$60	$201.7K
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…	62	1,990	560	$40	$185.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	31	270	1,360	$60	$159.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	37	300	1,160	$50	$147.8K
T1017	Targeted case management, each 15 minutes	66	70	2,130	$50	$117.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	28	320	640	$50	$98.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	169	230	410	$40	$59.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	21	300	330	$50	$56.3K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	31	260	910	$20	$47.2K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jefferson County Board Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$12.2M
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$10.7M

Nearby Providers

Other providers in the same ZIP code as Jefferson County Board Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$1.3M
Melody Sherwood	AL	Cardiovascular Disease Physician	$21.4K	$0
Heather Hardy-williams	AL	Adult Health Nurse Practitioner	$19.2K	$0

Jefferson County Board Of Health — Billing Profile & Reimbursement Data

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Jefferson County Board Of Health — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References