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.

Marion County Health Dept-hamilton Fp Clinic (NPI 1447393640)

Field	Value
Entity Type	Organization
Organization	Marion County Health Dept-hamilton Fp Clinic
Address	2448 Military Street South
City	Hamilton
State	AL
ZIP	35570
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$883.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	2,820	$230	$634.5K
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…	830	$230	$188.6K
S4993	Contraceptive pills for birth control	1,240	$20	$27.3K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	1,200	$20	$19.2K
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…	50	$200	$10.5K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	1,790	$1	$3.6K

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

Marion County Health Dept-hamilton Fp Clinic — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	923	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…	520	1,990	560	$40	$185.6K
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…	86	160	70	$200	$39K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	48	120	770	$10	$27.4K
S4993	Contraceptive pills for birth control	33	70	1,020	$20	$22.7K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	95	320	720	$1	$4.6K

Nearby Providers

Other providers in the same ZIP code as Marion County Health Dept-hamilton Fp Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marion Regional Medical Center, Inc.	AL	Rural Health Clinic/Center	$0	$5.5M
Aseracare Hospice - Hamiliton, LLC	AL	Community Based Hospice Care Agency	$0	$2.7M
Ouch Urgent Care Of Hamilton LLC	AL	Family Medicine Physician	$0	$1M
Marion Regional Medical Center, Inc.	AL	General Acute Care Hospital	$0	$917.1K
Raymond Cobb	AL	Optometrist	$80.2K	$98K
Courtney Dubose	AL	Family Nurse Practitioner	$47.3K	$0
Wal-mart Stores East LP	AL	Community/Retail Pharmacy	$42.5K	$0

Marion County Health Dept-hamilton Fp Clinic — Billing Profile & Reimbursement Data

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Marion County Health Dept-hamilton Fp Clinic — Billing Profile & Reimbursement Data

Sign up for Marion County Health Dept-hamilton Fp Clinic — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References