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.

Mobile Infirmary Association (NPI 1558364802)

Mobile Infirmary Association is a general acute care hospital provider located in Mobile, Alabama. This profile covers 0 Medicare and 66 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	Mobile Infirmary Association
Address	5 Mobile Infirmary Cir
City	Mobile
State	AL
ZIP	36607
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2005

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	4,730	$250	$1.2M
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.	27,870	$40	$1M
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.	16,390	$60	$983.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	28,790	$10	$230.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	20,740	$10	$207.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	5,160	$40	$195.9K
62322	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	1,120	$90	$96.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,180	$30	$95.3K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	1,830	$50	$95K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	6,500	$10	$65K

Showing 1–10 of 66

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

Mobile Infirmary Association — 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	19	70	380	$60	$893.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	37	40	1,020	$40	$865.2K
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.	54	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.	48	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.	25	230	5,160	$40	$474.1K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	13	20	1,500	$20	$389.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	53	70	550	$50	$210.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	59	60	320	$130	$176.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	67	110	610	$40	$143.9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	15	30	570	$40	$110.1K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ankit Gulati	AL	Physical Medicine & Rehabilitation Physician	$271.3K	$0
Hercules Panayiotou	AL	Cardiovascular Disease Physician	$270.7K	$0
Mir Hashimi	AL	Interventional Cardiology Physician	$261.4K	$0
J O'dowd	AL	Cardiovascular Disease Physician	$242.1K	$0
Randy Dotson	AL	Pulmonary Disease Physician	$162.2K	$0
Elia Abboud	GA	Cardiovascular Disease Physician	$156.7K	$0
Frank Lester	AL	Cardiovascular Disease Physician	$112.7K	$0
Robert Lerner	AL	Gastroenterology Physician	$94.5K	$0
Jennifer Richardson	AL	Certified Registered Nurse Anesthetist	$30.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Life Of Alabama	AL	PACE Provider Organization	$0	$11.5M
Mobile Pediatric Clinic LLC	AL	Pediatrics Physician	$0	$3.5M
Advantage Diabetic And Medical	AL	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Imc-hospitalists LLC	AL	Hospitalist Physician	$0	$2.6M
Pediatric Physical Therapy, LLC	AL	Pediatric Physical Therapist	$0	$1.5M
Emergency Services Of Mobile PC	AL	Emergency Medicine Physician	$0	$1M
Zachary Reardon	AL	Urology Physician	$505.7K	$0
Paul Scott	AL	Urology Physician	$334.8K	$0
Peter Pluscht	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$204.6K	$0
Charles White	AL	Urology Physician	$190.9K	$0

Mobile Infirmary Association — Billing Profile & Reimbursement Data

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Mobile Infirmary Association — 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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