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.

Southern Women's Health, PLLC (NPI 1548640642)

Southern Women's Health, PLLC is a rural health clinic/center provider located in Hattiesburg, 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	Southern Women's Health, PLLC
Address	5003 Hardy St
City	Hattiesburg
State	MS
ZIP	39402
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 3, 2015

Payer Source	Total Paid
Medicaid	$6M
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
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…	19,460	$120	$2.3M
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…	12,960	$100	$1.3M
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…	11,140	$90	$1M
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…	8,180	$110	$924.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,350	$90	$211.1K
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,…	1,380	$100	$131.4K
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…	800	$90	$67.8K
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…	480	$70	$31.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	210	$100	$20.9K
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…	170	$120	$19.8K

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

Southern Women's Health, PLLC — 3 of 12 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…	218	1,910	930	$60	$278.7K
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	120	1,480	$90	$263.1K
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…	91	1,670	720	$50	$196.4K
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…	2	120	890	$90	$145.2K
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,…	145	670	230	$60	$89.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	74	190	120	$20	$56.6K
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…	103	490	90	$70	$49.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2	80	90	$110	$44.7K
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…	112	680	100	$50	$34.8K
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…	100	300	70	$50	$15.9K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Women's Health, PLLC	MS	Obstetrics Physician	$0	$2.2M
Leigh Gray	MS	Specialist	$119.3K	$0
William Rushing	MS	Specialist	$114.4K	$0
Fred Ingram	MS	Obstetrics & Gynecology Physician	$106.4K	$0
Tom Stamatis	OH	Diagnostic Radiology Physician	$101.2K	$0
Stephen Mills	MS	Specialist	$71.7K	$0
Lacey Blakeney	MS	Family Nurse Practitioner	$64.5K	$0
Donna Breeland	MS	Obstetrics & Gynecology Physician	$57.8K	$0
Joey Sessums	MS	Specialist	$45.2K	$0
Ronald Smith	MS	Obstetrics & Gynecology Physician	$39.7K	$520

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wesley Health System LLC	MS	General Acute Care Hospital	$0	$37.9M
Aaa Ambulance Service	MS	Land Ambulance	$5.2M	$20.1M
Wright Lauten	MS	Retina Specialist (Ophthalmology) Physician	$11.8M	$20.3K
Middleton & Belknap Pediatric Dentistry PLLC	MS	Pediatric Dentistry	$0	$11.3M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$10.9M
Metro Medical Supply Company LLC	MS	Durable Medical Equipment & Medical Supplies	$0	$10.2M
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$10.1M
Wesley Physician Services LLC	MS	Family Medicine Physician	$0	$8.2M
Latonya Hailes	MS	Community Health Worker	$0	$8M
Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.	MS	Oral and Maxillofacial Surgery (Dentist)	$0	$7.4M

Southern Women's Health, PLLC — Billing Profile & Reimbursement Data

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Southern Women's Health, PLLC — 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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