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.

State Of Mississippi-university Of Mississippi Medical Center (NPI 1558798603)

Field	Value
Entity Type	Organization
Organization	State Of Mississippi-university Of Mississippi Medical Center
Address	960 Avent Dr
City	Grenada
State	MS
ZIP	38901
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 3, 2013

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $17.8M in Medicaid revenue, making it effectively a single-payer operation from the claims data available; absence of Medicare activity limits cross-payer benchmarking and increases revenue dependence on Medicaid flows. The provider’s NPI was enumerated on 2013-10-03 (~13 years ago), indicating it has been active under this registration for roughly a decade and a half.

Revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid codes (99283, 99284, 99285) together account for 44.7% of the provider’s total Medicaid revenue. Individually these codes represent $2.3M (99283, 18.2%), $2.3M (99284, 17.7%), and $1.1M (99285, 8.8%), which signals that ED encounters are the primary revenue driver.

The code mix beyond the top three reinforces an ED-centric and short-stay hospital model: significant payments for medication administration and IV therapy (96374 at $812.8K, 6.3%) and observation services (G0378 at $693.6K, 5.4%) point to frequent ED treatments, infusions, and observation-stay workflow rather than predominantly elective inpatient procedures. Several infusion-related codes (96360, 96365, 96372) also appear in the top 25, supporting a business profile with substantial procedural throughput in acute-care ambulatory settings.

Diagnostic laboratory and infectious-disease testing are a notable secondary revenue stream: high-volume NAAT tests for STIs (87491 at $280.7K and 87591 at $269.6K) both rank #4 of 106 providers in-state and are labeled at the 97th percentile, and a complete blood count (85025 at $211.6K) ranks #18 of 435 (96th percentile). These positions indicate the provider is a major local source for high-volume lab diagnostics and public-health testing within the state.

Imaging and advanced diagnostics support the acute-care footprint: chest x-rays (71045 at $356.7K and 71046 at $253.8K), CT of the abdomen/pelvis with contrast (74177 at $338.5K), and head CT (70450 at $172.8K) are all material contributors to revenue, consistent with emergency and inpatient diagnostic throughput rather than outpatient screening. Cardiac monitoring (93005 at $175.4K) and therapeutic exercise (97110 at $337.3K) further point to a mix of acute evaluation and ancillary rehabilitation services.

Competitive standing by code shows a mixed profile: for the ED E/M codes the provider ranks in the upper-middle statewide percentiles (99283 at the 78th, 99284 at the 76th, 99285 at the 73rd percentiles), suggesting solid but not dominant statewide share for high-acuity ED care. In contrast, certain diagnostic/lab codes are clear local outliers—99281 ranks #4 of 84 (96th percentile, noted as "notably above typical"), 87491 and 87591 both rank #4 of 106 (97th percentile), and 85025 ranks #18 of 435 (96th percentile)—indicating unusually high state volume for specific low-acuity ED encounters and lab testing.

From an operational-risk and strategic perspective, the combination of single-payer Medicaid dependence and the fact that the top three codes alone account for 44.7% of Medicaid revenue highlights revenue concentration vulnerability: changes in Medicaid policy, reimbursement, or ED utilization patterns could materially affect the provider’s topline. The lack of Medicare billing also means the provider’s financial exposure is concentrated to Medicaid program changes rather than balanced across payers.

Medicaid: Complete Services Breakdown

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

261 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	19,590	$120	$2.3M
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.	13,880	$160	$2.3M
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.	6,120	$190	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,840	$90	$812.8K
G0378	Hospital observation service, per hour	3,030	$230	$693.6K
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.	5,770	$80	$473.5K
99281	The provider sees a patient for the lowest level emergency department visit.	10,870	$40	$456.6K
86885	The lab analyst performs an indirect antihuman globulin test, also called a Coombs test, to determine whether antibodies are present in patient serum.	5,120	$70	$368.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	10,810	$30	$356.7K
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.	2,530	$130	$338.5K

Showing 1–10 of 261

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

State Of Mississippi-university Of Mississippi Medical Center — 4 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

261 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	45	50	4,400	$160	$1.9M
G0378	Hospital observation service, per hour	27	70	1,480	$370	$1.4M
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.	55	230	3,260	$120	$1.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	38	40	2,590	$160	$1.4M
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.	49	220	5,690	$100	$1.2M
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	180	3,000	$140	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	27	90	4,540	$90	$665.4K
A0425	Ground mileage, per statute mile	48	50	5,330	$30	$618.3K
86885	The lab analyst performs an indirect antihuman globulin test, also called a Coombs test, to determine whether antibodies are present in patient serum.	5	10	3,070	$70	$467.6K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	18	30	240	$260	$353.3K

Showing 1–10 of 261

Related Providers

Other providers that share a Tax Identification Number (TIN) with State Of Mississippi-university Of Mississippi Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$507.2M
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$13.9M
State Of Mississippi- University Of Mississippi Medical Center	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
State Of Mississippi-university Of Mississippi Medical Center	MS	Rural Health Clinic/Center	$0	$4.9M
State Of Mississippi-university Of Mississippi Medical Center	MS	Family Medicine Physician	$0	$2M
State Of Mississippi-university Of Mississippi Medical Center	MS	Rural Health Clinic/Center	$0	$1.7M
Adam Duhl	NJ	Maternal & Fetal Medicine Physician	$128.8K	$1.5M
Natale Sheehan	MS	Medical Oncology Physician	$1.4M	$0
Bryan Propes	MS	Ophthalmology Physician	$1.2M	$0

Nearby Providers

Other providers in the same ZIP code as State Of Mississippi-university Of Mississippi Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cmhp Enterprises	MS	Pediatric Dentistry	$0	$3.6M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Grancare, LLC	MS	Adult Day Care Clinic/Center	$0	$2.4M
Grenada Emergency Group, LLC	MS	Emergency Medicine Physician	$0	$1.6M
20-20 Eyecare Of Grenada PA	MS	Optometrist	$0	$1.5M
Providence Pcc Of Grenada, LLC	MS	Assisted Living Facility	$0	$1.5M
Cesar Guerrero	MS	Dermatology Physician	$596.7K	$46K
James Pegg	MS	Optometrist	$67.4K	$292.3K
Joseph Roberts	MS	Internal Medicine Physician	$270K	$0
Canon Beissel	MS	Nephrology Physician	$243.5K	$0

State Of Mississippi-university Of Mississippi Medical Center — Billing Profile & Reimbursement Data

Sign up for State Of Mississippi-university Of Mississippi Medical Center — Billing Profile & Reimbursement Data policy alerts

State Of Mississippi-university Of Mississippi Medical Center — Billing Profile & Reimbursement Data

Sign up for State Of Mississippi-university Of Mississippi Medical Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References