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.

Lakeland Community Hospital, Inc. (NPI 1497213482)

Field	Value
Entity Type	Organization
Organization	Lakeland Community Hospital, Inc.
Address	42030 Highway 195 Ste B
City	Haleyville
State	AL
ZIP	35565
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 8, 2019

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	27,040	$60	$1.6M
3074F	No Summary found for this code	50	$0	$0
3075F	No Summary found for this code	10	$0	$0
3078F	No Summary found for this code	130	$0	$0
3079F	No Summary found for this code	10	$0	$0
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,060	$0	$0
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	4,340	$0	$0
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	40	$0	$0
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	30	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	150	$0	$0

Showing 1–10 of 25

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

Lakeland Community Hospital, Inc. — 0 of 1 code 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	56	240	6,820	$120	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	76	180	100	$120	$381.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12	120	500	$50	$317.7K
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…	253	1,990	680	$60	$201.7K
99215	The provider sees an established 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…	184	330	140	$240	$197.4K
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…	222	1,990	560	$40	$185.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	78	110	240	$60	$175.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	35	180	480	$20	$86.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	387	500	120	$60	$42.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	727	790	390	$10	$33K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Community Hospital, Inc.	AL	Rural Health Clinic/Center	$0	$2.8M
Lakeland Community Hospital, Inc.	AL	Critical Access Hospital	$0	$1.1M
Jeffrey Saylor	AL	Family Medicine Physician	$154K	$0
Brandi Ray	AL	Adult Health Nurse Practitioner	$96.5K	$0
Brady Aderholt	AL	Family Nurse Practitioner	$92.9K	$0
Cassandra Carrell	AK	Acute Care Nurse Practitioner	$27.4K	$0
Megan Larrabee	AL	Clinical Social Worker	$20.5K	$0
Tay Nielsen	MS	Clinical Social Worker	$13.7K	$0
Lela Mckinney	AL	Clinical Social Worker	$11.3K	$0

Nearby Providers

Other providers in the same ZIP code as Lakeland Community Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Haleyville Medical Associates Inc	AL	Family Medicine Physician	$0	$3.9M
Venkatapuram Reddy	AL	Internal Medicine Physician	$360.3K	$0
Tara Lindsey	AL	Physical Therapist	$122.9K	$0
Jeffrey Long	AL	Family Medicine Physician	$122.7K	$0
Vanessa Ragland	AL	Family Medicine Physician	$103.7K	$0
Jessica Adams	AL	Family Nurse Practitioner	$42.8K	$0
Hank Lee	AL	Specialist	$13.3K	$0

Lakeland Community Hospital, Inc. — Billing Profile & Reimbursement Data

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Lakeland Community Hospital, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References