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.

Neshoba County General Hospital (NPI 1528295532)

Neshoba County General Hospital is a rural health clinic/center provider located in Philadelphia, Mississippi. This profile covers 0 Medicare and 21 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	Neshoba County General Hospital
Address	1120 E Main St
City	Philadelphia
State	MS
ZIP	39350
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 17, 2009

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	27,730	$80	$2.2M
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…	2,050	$50	$104.7K
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,…	430	$70	$30K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	1,980	$10	$25.8K
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…	1,440	$10	$20.1K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	1,640	$10	$9.8K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	550	$20	$9.4K
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…	290	$20	$6.1K
J0561	Injection, penicillin g benzathine, 100,000 units	1,080	$1	$3.2K
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…	60	$50	$2.8K

Showing 1–10 of 21

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

Neshoba County General Hospital — 1 of 13 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	67	1,910	930	$60	$278.7K
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…	519	1,670	720	$50	$196.4K
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…	156	220	910	$20	$103.1K
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,…	269	670	230	$60	$89.5K
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…	61	170	600	$20	$58.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	336	750	400	$20	$52.5K
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,…	294	440	380	$30	$49.4K
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.	396	620	570	$10	$38K
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…	441	680	100	$50	$34.8K
J0561	Injection, penicillin g benzathine, 100,000 units	4	60	80	$80	$26K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neshoba County General Hospital	MS	Critical Access Hospital	$0	$22.4M
Neshoba County General Hospital	MS	Rural Health Clinic/Center	$0	$7.2M
Neshoba County General Hospital	MS	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Azhar Pasha	FL	Pain Medicine (Anesthesiology) Physician	$148.8K	$0
Attila Roka	MS	Clinical Cardiac Electrophysiology Physician	$108.5K	$0
Kary Whitehead	MS	Sleep Medicine (Internal Medicine) Physician	$106.3K	$0
Usman Salahuddin	MS	Cardiovascular Disease Physician	$88.1K	$0
Linus Martin	MS	Emergency Medical Services (Emergency Medicine) Physician	$68.4K	$0
Hailey Thompson	MS	Family Medicine Physician	$35.1K	$0
Aamir Hashmat	MS	Neurology Physician	$20K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi Band Of Choctaw Indians	MS	General Acute Care Hospital	$0	$56.9M
New Beginnings Adult Day Care Services	MS	Adult Day Care Clinic/Center	$0	$4.8M
Performance Therapy LLC	MS	Physical Therapist	$0	$4M
New Beginnings Adult Day Care Services, LLC	MS	Homemaker	$0	$3.6M
Neshoba County Ambulance Enterprise	MS	Land Ambulance	$549.4K	$2.3M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
Richard Stribling	MS	Optometrist	$136K	$73.5K
Brenda Thrash	MS	Family Nurse Practitioner	$144.1K	$0
Michael Wilcher	MS	Physical Therapist	$136.1K	$0
Terry Winstead	MS	Occupational Therapist	$117.4K	$0

Neshoba County General Hospital — Billing Profile & Reimbursement Data

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Neshoba County General Hospital — 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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