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.

Houston County Healthcare Authority (NPI 1538597349)

Houston County Healthcare Authority is a internal medicine physician provider located in Dothan, Alabama. This profile covers 0 Medicare and 131 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	Houston County Healthcare Authority
Address	1108 Ross Clark Cir
City	Dothan
State	AL
ZIP	36301
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 15, 2013

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

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

131 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	34,350	$70	$2.4M
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…	40,950	$60	$2.3M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,750	$70	$643.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,120	$60	$519.8K
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.	7,780	$50	$350.1K
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.	11,460	$30	$332.4K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	2,760	$90	$234.5K
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.	4,220	$60	$232.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,480	$60	$212.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,030	$60	$190.8K

Showing 1–10 of 131

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

Houston County Healthcare Authority — 4 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

131 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	97	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.	57	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.	70	230	5,160	$40	$474.1K
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…	30	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	58	330	140	$240	$197.4K
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…	38	1,990	560	$40	$185.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	18	270	1,360	$60	$159.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	23	300	1,160	$50	$147.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	64	250	420	$50	$133K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	73	130	260	$10	$124.7K

Showing 1–10 of 131

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Houston County Healthcare Authority	AL	General Acute Care Hospital	$0	$4.9M
Houston County Healthcare Authority	AL	Clinical Medical Laboratory	$591.7K	$2.1M
Jawaunna Blackmon	AL	Hematology & Oncology Physician	$2.1M	$0
Adnan Mallick	NJ	Ophthalmology Physician	$1.6M	$0
Houston County Healthcare Authority	AL	Internal Medicine Physician	$0	$1.5M
Nelson Gwinn	AL	Cardiovascular Disease Physician	$1.3M	$0
Christopher Centafont	AL	Cardiovascular Disease Physician	$688.3K	$0
Darius Aliabadi	AL	Cardiovascular Disease Physician	$679.1K	$0
Andreas Muench	AL	Cardiovascular Disease Physician	$636.8K	$0
Sai Avula	AL	Internal Medicine Physician	$540.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$6.9M
Wiregrass Hospice, LLC	AL	Community Based Hospice Care Agency	$0	$5.8M
Dothan Ambulance Service	AL	Land Ambulance	$1.7M	$3.9M
Southeast Alabama Maternity Care Program	AL	Exclusive Provider Organization	$0	$5.1M
Houston County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$4.4M
Southern Alabama Surgery Center LLC	AL	Ambulatory Surgical Clinic/Center	$3.8M	$94.3K
Edmund Lacour	AL	Rheumatology Physician	$3.7M	$0
Eye Partners, PC	AL	Optometrist	$0	$2.4M
Radiology Associates Of Dothan PC	AL	Diagnostic Radiology Physician	$0	$1.7M
Gut Endo, LLC	AL	Ambulatory Surgical Clinic/Center	$1.5M	$2.4K

Houston County Healthcare Authority — Billing Profile & Reimbursement Data

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Houston County Healthcare Authority — 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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