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.

Phc-cleveland LLC (NPI 1457321036)

Key Findings

Field	Value
Entity Type	Organization
Organization	Phc-cleveland LLC
Address	901 E Sunflower Rd
City	Cleveland
State	MS
ZIP	38732
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 25, 2006

Payer Source	Total Paid
Medicaid	$23.4M
Medicare	$0

PHC-CLEVELAND LLC has no Medicare billing on file and an exclusively Medicaid billing footprint in the available data, reporting Total Medicaid revenue of $23.4M. Its NPI was enumerated 2006-01-25 (~20 years ago), indicating an established clinical presence in CLEVELAND, MS, but its reimbursement exposure is effectively single-payer (Medicaid) in the reported claims universe.

Revenue concentration is high within a narrow set of emergency department evaluation-and-management codes: the precomputed top three Medicaid codes account for 49.6% of the provider's total Medicaid revenue, led by 99284 ($4.7M, 23.4% of Medicaid revenue), 99283 ($2.9M, 14.7%), and 99285 ($2.3M, 11.5%). This concentration signals that ED visits are the primary revenue engine driving roughly half of Medicaid receipts.

The code mix and dollar distribution point to an acute-care hospital operating a busy emergency department with on-site diagnostic and procedural capacity: high-revenue items include ED E/M codes (99284/99283/99285), hospital observation hours G0378 ($1.1M, 5.6%), cross-sectional imaging such as 74177 ($414.2K, 2.1%) and 70450 ($385.3K, 1.9%), and frequent therapeutic/IV administration codes (96365/96374/96361). Together these codes imply next-step inpatient/observation capability plus rapid diagnostics and infusion services supporting ED throughput.

Competitive standing for core ED codes is meaningful but characterized in the source data as typical rather than dominant statewide: 99284 (99284) ranks #23 of 227 providers in-state (90th percentile; typical, unremarkable volume for this code), 99283 ranks #39 of 223 providers in-state (83th percentile; typical, unremarkable volume for this code), and 99285 ranks #30 of 175 providers in-state (83th percentile; typical, unremarkable volume for this code). In plain terms, the facility sits above median statewide ED volume on these codes but is not described as a regional outlier or monopolist for emergency care in the data.

Several individual codes are flagged as statistical outliers relative to state peers and suggest service-line emphases beyond general ED care: 96372 (therapeutic/prophylactic injections) is listed at 16.9K claims and $677.6K revenue and “ranks #29 of 751 providers in-state (96th percentile; notably above typical state volume for this code)”, 59025 (fetal heart rate monitoring) is $455.7K and “ranks #4 of 79 providers in-state (96th percentile; notably above typical state volume for this code)”, and 87635 (SARS–COV–2 NAAT) is $236.3K and “ranks #11 of 254 providers in-state (96th percentile; notably above typical state volume for this code)”. These elevated positions point to especially high throughput for injections, obstetrical fetal monitoring, and COVID testing versus most in-state peers.

Ancillary diagnostics and therapy volumes are substantial and consistent with an ED-centered acute facility: high-claim diagnostic and therapy codes include 85025 (40.1K claims, $200.7K), 93005 (15.4K claims, $276.7K), 71045 (15.3K claims, $537K), 97110 (17.8K claims, $623.2K), and 97530 (17.4K claims, $608.4K). These lines suggest routine high-volume lab, EKG, radiography, physical therapy, and outpatient rehabilitation activity that support both emergency and short-stay observation workflows.

From a payer or contracting perspective, the combination of an established NPI (2006-01-25, ~20 years), a Medicaid-only revenue footprint ($23.4M), and heavy reliance on a small set of ED codes (top 3 = 49.6% of Medicaid revenue) signals both an entrenched local acute-care provider and a concentrated reimbursement risk: major shifts in Medicaid policy or network inclusion could materially affect this provider’s revenue given the lack of Medicare diversification in the reported data.

Medicaid: Complete Services Breakdown

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

223 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	26,700	$180	$4.7M
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.	21,970	$130	$2.9M
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.	11,940	$190	$2.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	21,940	$50	$1.2M
G0378	Hospital observation service, per hour	2,990	$380	$1.1M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	16,940	$40	$677.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	17,810	$40	$623.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	17,380	$40	$608.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,500	$80	$599.8K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	15,340	$40	$537K

Showing 1–10 of 223

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

Phc-cleveland LLC — 4 of 25 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

223 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	29	70	1,480	$370	$1.4M
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.	23	230	3,260	$120	$1.4M
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.	39	220	5,690	$100	$1.2M
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.	30	180	3,000	$140	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	33	90	4,540	$90	$665.4K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	43	50	300	$510	$483.3K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	2	10	90	$940	$428.5K
37229	N/A	2	10	120	$1,350	$358.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	22	90	2,110	$80	$325.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	43	110	1,250	$110	$311.6K

Showing 1–10 of 223

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare Plus LLC	MS	Home Health Registered Nurse	$0	$15.9M
Pafford Medical Services Of Mississippi, Inc	MS	Land Ambulance	$2.5M	$12.3M
Angel Homemaker Services, LLC	MS	Adult Day Care Clinic/Center	$0	$8.2M
Family Medical Clinic Of Cleveland, LLC	MS	Family Nurse Practitioner	$0	$6.6M
Tender Loving Care	MS	Adult Day Care Clinic/Center	$0	$5.7M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Acs Emergency Services Of Mississippi Professional Association	MS	Emergency Medicine Physician	$0	$3.1M
Bolivar Physician Practices LLC	MS	Family Medicine Physician	$0	$3M
United Family Life Center	MS	Adult Day Care Clinic/Center	$0	$2.9M
Foluso Fakorede	MS	Interventional Cardiology Physician	$2.6M	$2.5K

Phc-cleveland LLC — Billing Profile & Reimbursement Data

Sign up for Phc-cleveland LLC — Billing Profile & Reimbursement Data policy alerts

Phc-cleveland LLC — Billing Profile & Reimbursement Data

Sign up for Phc-cleveland LLC — Billing Profile & Reimbursement Data policy alerts

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