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.

Ochsner Mississippi, LLC (NPI 1538674239)

Ochsner Mississippi, LLC is a internal medicine physician provider located in Bay Saint Louis, Mississippi. This profile covers 0 Medicare and 102 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	Ochsner Mississippi, LLC
Address	149 Drinkwater Rd
City	Bay Saint Louis
State	MS
ZIP	39520
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 5, 2017

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

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

102 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…	25,470	$50	$1.1M
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…	19,120	$30	$650.1K
99204	The provider sees a new 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 provider…	3,600	$60	$212.6K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	2,070	$60	$118.2K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	4,740	$20	$99.5K
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…	3,280	$30	$98.3K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	750	$130	$97K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,990	$50	$95.5K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	1,630	$50	$75.1K
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.	7,090	$10	$56.7K

Showing 1–10 of 102

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

Ochsner Mississippi, LLC — 3 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

102 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	5	10	640	$170	$759.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	79	110	1,250	$110	$311.6K
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…	119	1,910	930	$60	$278.7K
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…	106	170	1,210	$90	$275K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	25	30	2,870	$50	$273.5K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	53	120	1,480	$90	$263.1K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	10	20	440	$90	$219.2K
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…	124	220	470	$90	$212.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	70	70	200	$180	$200.4K
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…	35	1,670	720	$50	$196.4K

Showing 1–10 of 102

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rush Medical Foundation	MS	General Acute Care Hospital	$0	$29.4M
Laird Hospital, Inc.	MS	Critical Access Hospital	$0	$7.2M
Family Medical Clinic Of Cleveland, LLC	MS	Family Nurse Practitioner	$0	$6.6M
Laird Hospital, Inc.	MS	Rural Health Clinic/Center	$0	$5.9M
Laird Hospital, Inc	MS	Rural Health Clinic/Center	$0	$5.3M
Medical Foundation, Inc.	MS	Clinical Medical Laboratory	$1M	$4.2M
Rush Medical Foundation	MS	Critical Access Hospital	$0	$4.7M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Kemper, Cah, Inc	AL	Rural Health Clinic/Center	$0	$4.5M
Kemper Cah, Inc.	MS	Critical Access Hospital	$0	$4.1M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Medical Center - Hancock LLC	MS	General Acute Care Hospital	$0	$16.8M
James Rahaim	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M
Covenant Laboratories	MS	Clinical Medical Laboratory	$3.6M	$350.8K
J Austin Rahaim, Dmd, Ms, PA	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.6M
Hancock Emergency Group LLC	MS	Emergency Medicine Physician	$0	$2M
Coastal Family Health Center, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$1.5M
Children's International, LLC	MS	Primary Care Clinic/Center	$0	$1.4M
Matthew Brennan	MS	General Practice Physician	$1.4M	$0
Hancock Womens Center PA	MS	Gynecology Physician	$0	$1.2M
Matthew Capo	MS	Physical Therapist	$193.1K	$0

Ochsner Mississippi, LLC — Billing Profile & Reimbursement Data

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Ochsner Mississippi, 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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