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.

Claiborne County Hospital (NPI 1497003610)

Field	Value
Entity Type	Organization
Organization	Claiborne County Hospital
Address	123 Mccomb Ave
City	Port Gibson
State	MS
ZIP	39150
Taxonomy	Critical Access Hospital
NPI Enumerated	August 20, 2012

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	36,340	$110	$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.	13,830	$100	$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.	9,630	$140	$1.3M
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.	2,140	$180	$379K
G0410	Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes	35,470	$10	$283.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,940	$70	$214.3K
G0378	Hospital observation service, per hour	360	$550	$195.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,040	$100	$193.6K
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.	1,740	$90	$163.9K
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…	5,460	$30	$163.7K

Showing 1–10 of 63

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

Claiborne County Hospital — 0 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

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	56	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.	74	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.	66	220	5,690	$100	$1.2M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	2	10	26,940	$40	$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.	98	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.	60	90	4,540	$90	$665.4K
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.	52	90	2,110	$80	$325.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	63	150	2,200	$70	$280.7K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	70	90	2,310	$50	$220.5K
G0410	Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes	2	10	24,180	$10	$212.2K

Showing 1–10 of 63

Related Providers

Other providers that share a Tax Identification Number (TIN) with Claiborne County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Headley	MS	Family Medicine Physician	$311.1K	$0
Johnathan Hays	VA	Diagnostic Radiology Physician	$275K	$32K
Robert Williams	FL	Family Medicine Physician	$207.6K	$0
Parveen Kumar	MS	Psychiatry Physician	$152.3K	$19.8K
William Berlin	MS	Diagnostic Radiology Physician	$105.5K	$0
William Haney	MS	Diagnostic Radiology Physician	$92.8K	$0
William Truly	MS	General Practice Physician	$80.3K	$0
Kathryn Nutter	MS	Diagnostic Radiology Physician	$71.6K	$0
Todd Nichols	MS	Diagnostic Radiology Physician	$65.9K	$0
Nilda Williams	MS	Diagnostic Radiology Physician	$65.8K	$0

Nearby Providers

Other providers in the same ZIP code as Claiborne County Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
At Home Care, Inc.	MS	Home Health Agency	$0	$58M
At Home Care, Inc	MS	Nursing Care Agency	$0	$6M
David M. Headley, M.d. PA	MS	Family Medicine Physician	$0	$3.3M
Renex Dialysis Facilities, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M
Claiborne County Family Health Center	MS	Federally Qualified Health Center (FQHC)	$0	$1.3M
Kendrique Morgan	MS	Physical Therapist	$34.9K	$0

Claiborne County Hospital — Billing Profile & Reimbursement Data

Sign up for Claiborne County Hospital — Billing Profile & Reimbursement Data policy alerts

Claiborne County Hospital — Billing Profile & Reimbursement Data

Sign up for Claiborne County Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References