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.

Hh Health System - Shoals LLC (NPI 1508952235)

Hh Health System - Shoals LLC is a general acute care hospital provider located in Sheffield, Alabama. This profile covers 0 Medicare and 103 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	Hh Health System - Shoals LLC
Address	1300 S Montgomery Ave
City	Sheffield
State	AL
ZIP	35660
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

103 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.	29,340	$60	$1.7M
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.	5,940	$250	$1.5M
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.	22,850	$30	$754.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	20,600	$10	$185.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	2,600	$40	$98.9K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	630	$130	$79.9K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	18,640	$1	$74.6K
86710	The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to influenza virus.	4,930	$10	$64.1K
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…	10,180	$10	$50.9K
87086	Culture, bacterial; quantitative, colony count, urine.	4,760	$10	$42.9K

Showing 1–10 of 103

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

Hh Health System - Shoals LLC — 3 of 25 codes 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

103 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	3	10	1,300	$40	$1.8M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	43	70	380	$60	$893.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	40	40	1,020	$40	$865.2K
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	240	4,820	$60	$807.6K
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.	43	190	1,480	$100	$730.7K
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.	31	230	5,160	$40	$474.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	31	40	1,540	$10	$397.4K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	33	40	430	$10	$391.5K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	52	90	500	$40	$303.6K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	30	40	860	$10	$212K

Showing 1–10 of 103

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Loren Mccoy	AL	Internal Medicine Physician	$334.2K	$0
Kenneth Rose	AL	Internal Medicine Physician	$318.9K	$0
Anjaneyulu Alapati	AL	Neurology Physician	$221.5K	$0
Joshua Vacik	AL	Internal Medicine Physician	$190.3K	$0
Theodros Mengesha	AL	Neurology Physician	$186.1K	$0
Albert Ridgeway	AL	Specialist	$142.2K	$0
Heather Childers	OH	Emergency Medicine Physician	$100.3K	$0
Robert Flowers	AL	Internal Medicine Physician	$71.7K	$0
Joy Catania	AL	Physician Assistant	$67.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoals Primary Care, LLC	AL	Family Medicine Physician	$0	$5.8M
Northwest Alabama Health Services, LLC	AL	Ambulance	$1.3M	$2.3M
Northwest Emergency Physician Group	AL	Emergency Medicine Physician	$0	$2.8M
Colbert County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.9M
Oral & Facial Surgery Of The Shoals, L.L.C.	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$1.3M
Faith Based Psychological Associates, Inc	AL	Community/Behavioral Health Agency	$0	$1.3M
Jerry Williams	AL	Cardiovascular Disease Physician	$370.6K	$0
Charles Thompson	AL	Family Medicine Physician	$303.5K	$0
Anthony Horton	AL	Family Medicine Physician	$301.9K	$0

Hh Health System - Shoals LLC — Billing Profile & Reimbursement Data

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Hh Health System - Shoals LLC — 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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