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.

North Sunflower Medical Center (NPI 1508913609)

Field	Value
Entity Type	Organization
Organization	North Sunflower Medical Center
Address	840 N Oak Ave
City	Ruleville
State	MS
ZIP	38771
Taxonomy	Critical Access Hospital
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

186 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	15,750	$150	$2.3M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	7,790	$210	$1.6M
D7240	N/A	4,640	$260	$1.2M
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,…	30,680	$30	$920.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,390	$220	$753K
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…	22,270	$30	$734.9K
41874	Alveoloplasty is done prior to placement of a dental prosthesis. In order to facilitate smooth fitting of the denture, the dentist performs alveoloplasty to make the alveolar process smoother.…	540	$1,140	$616.1K
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.	23,940	$20	$502.7K
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.	7,290	$70	$474K
J2405	Injection, ondansetron hydrochloride, per 1 mg	7,800	$60	$452.2K

Showing 1–10 of 186

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

North Sunflower Medical Center — 5 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

186 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	49	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.	111	230	3,260	$120	$1.4M
J2357	Injection, omalizumab, 5 mg	8	10	640	$1,020	$1.3M
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.	101	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.	102	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.	57	90	4,540	$90	$665.4K
41874	Alveoloplasty is done prior to placement of a dental prosthesis. In order to facilitate smooth fitting of the denture, the dentist performs alveoloplasty to make the alveolar process smoother.…	1	10	540	$1,140	$616.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	37	50	300	$510	$483.3K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	19	30	240	$260	$353.3K
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.	18	90	2,110	$80	$325.8K

Showing 1–10 of 186

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Sunflower Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Sunflower Medical Center	MS	Rural Health Clinic/Center	$0	$15.3M
William Quinton	MS	Pediatric Dentistry	$0	$1.6M
North Sunflower Medical Center	MS	Durable Medical Equipment & Medical Supplies	$0	$1.5M
North Sunflower Medical Center Dentists	MS	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Donny Stokes	MS	Cardiovascular Disease Physician	$881.8K	$0
Steven Clark	MS	Internal Medicine Physician	$741.5K	$0
Margaret Cassada	MS	Psychiatry Physician	$733.3K	$0
Mark Blackwood	MS	Obstetrics & Gynecology Physician	$10.5K	$711.7K
James Bennett	MS	Interventional Cardiology Physician	$661.1K	$0
James Hays	MS	Cardiovascular Disease Physician	$545.9K	$0

Nearby Providers

Other providers in the same ZIP code as North Sunflower Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Airston Moses	MS	Family Nurse Practitioner	$30.3K	$0

North Sunflower Medical Center — Billing Profile & Reimbursement Data

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North Sunflower Medical Center — 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