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 1578011417)

Field	Value
Entity Type	Organization
Organization	State Of Mississippi-university Of Mississippi Medical Center
Address	965 Avent Dr Ste 100b
City	Grenada
State	MS
ZIP	38901
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 21, 2016

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 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…	17,520	$120	$2.1M
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…	7,330	$120	$879.4K
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…	6,620	$130	$873.4K
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,…	3,490	$120	$401.4K
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…	2,190	$130	$282.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	2,320	$20	$46.5K
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.	2,760	$10	$35.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	170	$140	$24.2K
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	1,190	$20	$23.9K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	1,750	$10	$21K

Showing 1–10 of 50

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 — 1 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

50 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…	135	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…	26	170	1,210	$90	$275K
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…	25	220	470	$90	$212.2K
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…	492	1,670	720	$50	$196.4K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	133	140	400	$80	$191K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	60	160	710	$30	$119.4K
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,…	65	670	230	$60	$89.5K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	73	180	180	$40	$78.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	136	230	190	$80	$74.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	340	580	640	$20	$57.5K

Showing 1–10 of 50

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	$17.8M
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	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

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References