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.

Uppal Medical Center LLC (NPI 1558927905)

Uppal Medical Center LLC is a rural health clinic/center provider located in Greenville, Mississippi. This profile covers 0 Medicare and 18 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	Uppal Medical Center LLC
Address	1727 E Union St
City	Greenville
State	MS
ZIP	38703
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 10, 2019

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	10,320	$50	$536.6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	10,430	$50	$511.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	8,060	$50	$410.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,660	$50	$398.3K
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…	2,170	$50	$97.7K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	1,110	$80	$90K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	540	$70	$40K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	730	$50	$38.5K
G0127	Trimming of dystrophic nails, any number	3,870	$10	$31K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	400	$70	$28.5K

Showing 1–10 of 18

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

Uppal Medical Center LLC — 1 of 18 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

18 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…	228	1,910	930	$60	$278.7K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	12	20	400	$160	$231.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	150	160	380	$70	$223.2K
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…	494	1,670	720	$50	$196.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	17	20	290	$170	$176.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13	120	340	$50	$148.2K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	4	10	630	$120	$119.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	23	220	910	$20	$103.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	27	160	80	$90	$61.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	63	150	370	$20	$59.9K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwin Linder	MS	Family Medicine Physician	$333.3K	$20
Lauri Garrett	LA	Family Nurse Practitioner	$248.7K	$0
Paul Dykes	MS	Nephrology Physician	$239.6K	$0
Kela Spikes Bickham	LA	Psychiatric/Mental Health Nurse Practitioner	$157.3K	$65.6K
Lepercival Griffin	MS	Family Medicine Physician	$182.4K	$0
Anuj Marya	MS	Family Medicine Physician	$151.1K	$0
Brenda Thrash	MS	Family Nurse Practitioner	$144.1K	$0
Deidra Thompson	MS	Psychiatric/Mental Health Nurse Practitioner	$72.8K	$0
Christopher Price	MS	Family Nurse Practitioner	$64.2K	$0
Rachel Head	TN	Acute Care Nurse Practitioner	$56.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delta Health System	MS	Rural Acute Care Hospital	$0	$39M
Delta Medical Group	MS	Emergency Medicine Physician	$0	$7.4M
Pediatric Dental Specialists	MS	Pediatric Dentistry	$0	$5.8M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.3M
Delta Health System	MS	Home Health Agency	$0	$4.3M
Port City Adult Daycare	MS	Adult Day Care Clinic/Center	$0	$3.8M
Delta Family Medical Services Inc	MS	Health Service Clinic/Center	$0	$3.3M
Super Natural Adult Daycare LLC	MS	Adult Day Care Clinic/Center	$0	$3.1M
Professional Staffing Solutions Adult Day Services, LLC	MS	Adult Day Care Clinic/Center	$0	$3M
Wellness Oasis Inc	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M

Uppal Medical Center LLC — Billing Profile & Reimbursement Data

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Uppal Medical Center 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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