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.

Russellville Hospital Inc (NPI 1508491093)

Russellville Hospital Inc is a rural health clinic/center provider located in Russellville, Alabama. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Russellville Hospital Inc
Address	13150 Highway 43 Ste 10
City	Russellville
State	AL
ZIP	35653
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 5, 2020

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	25,140	$50	$1.1M
99203	The provider sees a new 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 provider…	180	$0	$0
99204	The provider sees a new 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 provider…	100	$0	$0
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…	4,710	$0	$0
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…	2,070	$0	$0
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	320	$0	$0
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	240	$0	$0
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	46,530	$0	$0
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…	420	$0	$0
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	110	$0	$0

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

Russellville 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	59	240	6,820	$120	$2.9M
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…	593	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…	366	1,990	560	$40	$185.6K
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…	99	180	480	$20	$86.2K
99204	The provider sees a new 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 provider…	245	630	60	$80	$45.8K
99203	The provider sees a new 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 provider…	236	660	80	$50	$26.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	5	230	920	$10	$22.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	82	150	300	$1	$3.7K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2	10	50	$30	$2.8K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	4	20	70	$1	$380

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Russellville Hospital Inc	AL	Rural Health Clinic/Center	$0	$1.8M
Russellville Hospital Inc.	AL	Rural Acute Care Hospital	$0	$1.3M
Rex Williams	MS	Pain Medicine (Anesthesiology) Physician	$368.4K	$0
Douglas Tucker	MS	Anesthesiology Physician	$352K	$0
Ashley Hanback	AL	Family Nurse Practitioner	$184.2K	$0
Jeffrey Saylor	AL	Family Medicine Physician	$154K	$0
Joseph Southern	AL	Family Nurse Practitioner	$147.9K	$0
Kerri Wiley	GA	Nurse Practitioner	$147.5K	$0
Ashley Pauldin	AL	Family Nurse Practitioner	$109.9K	$0
Charlotte Menzel	AL	Family Medicine Physician	$106.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
App Of Alabama Ed PLLC	AL	Emergency Medicine Physician	$0	$9.2M
Rizk Abdel Moutagaly	AL	Pediatrics Physician	$0	$1.7M
Kevin G. Kelly, M.d.	AL	Family Medicine Physician	$0	$1.5M
Campbell Vision Center, Inc.	AL	Optometrist	$0	$1.2M
Lloyd Dyas	AL	Orthopaedic Surgery Physician	$75.1K	$0
Jeffrey Manord	AL	Vascular Surgery Physician	$73.4K	$0
Sidney Greenberg	AL	Optometrist	$71.5K	$0
Jerry Jenkins	AL	Podiatrist	$57.5K	$9.7K
Jo Anna Monroe	AL	Family Nurse Practitioner	$56.2K	$0
Barbara Keenum	AL	Physical Therapist	$27.1K	$0

Russellville Hospital Inc — Billing Profile & Reimbursement Data

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Russellville 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

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