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.

Southeast Mississippi Rural Health Initiative, Inc. (NPI 1538136940)

Field	Value
Entity Type	Organization
Organization	Southeast Mississippi Rural Health Initiative, Inc.
Address	66 Old Airport Rd
City	Hattiesburg
State	MS
ZIP	39401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 3, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 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…	11,460	$80	$950.8K
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…	2,780	$100	$274.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	6,450	$10	$58K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	110	$120	$12.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	5,830	$1	$5.8K
1159F	No Summary found for this code	3,810	$0	$0
1160F	No Summary found for this code	3,820	$0	$0
1220F	No Summary found for this code	40	$0	$0
3008F	No Summary found for this code	4,600	$0	$0
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	70	$0	$0

Showing 1–10 of 32

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

Southeast Mississippi Rural Health Initiative, Inc. — 0 of 5 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

32 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…	208	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…	420	1,670	720	$50	$196.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	150	160	710	$30	$119.4K
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.	602	620	570	$10	$38K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	119	300	70	$50	$15.9K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	193	260	300	$10	$14.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	148	410	140	$10	$11K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	10	110	860	$10	$10.9K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	269	310	590	$10	$10.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	112	780	470	$1	$10.4K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southeast Mississippi Rural Health Initiative, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minor Care Clinic	MS	Federally Qualified Health Center (FQHC)	$0	$2.5M
Lisa Morgan	MS	Nurse Practitioner	$43.4K	$0
Lisa Parker	OR	Nurse Practitioner	$37.1K	$0
Melinda Delancey	MS	Family Nurse Practitioner	$19.7K	$0
Keith Kersten	MS	Family Medicine Physician	$18K	$0

Nearby Providers

Other providers in the same ZIP code as Southeast Mississippi Rural Health Initiative, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region 12 Commission On Mental Health & Retardation Pine Belt Men	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$108.3M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$81.6M
Hattiesburg Clinic PA	MS	Multi-Specialty Clinic/Center	$0	$59.5M
Doves Home Care	MS	Home Health Agency	$0	$12M
Neighborhood Healthcare Providers	MS	Internal Medicine Physician	$0	$10.9M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$7.9M
Hattiesburg Clinic PA	MS	Ambulatory Surgical Clinic/Center	$4.5M	$2.4M
Top Choice Healthcare	MS	In Home Supportive Care Agency	$0	$6M
Hattiesburg Clinic PA	MS	Clinical Medical Laboratory	$2.2M	$3.3M
Relias Emergency Medicine Specialists Of Hattiesburg LLC	MS	Emergency Medicine Physician	$0	$5M

Southeast Mississippi Rural Health Initiative, Inc. — Billing Profile & Reimbursement Data

Sign up for Southeast Mississippi Rural Health Initiative, Inc. — Billing Profile & Reimbursement Data policy alerts

Southeast Mississippi Rural Health Initiative, Inc. — Billing Profile & Reimbursement Data

Sign up for Southeast Mississippi Rural Health Initiative, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References