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.

Tombigbee Healthcare Authority (NPI 1578690327)

Tombigbee Healthcare Authority is a specialist provider located in Demopolis, Alabama. This profile covers 0 Medicare and 45 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	Tombigbee Healthcare Authority
Address	105 Us Highway 80 E
City	Demopolis
State	AL
ZIP	36732
Taxonomy	Specialist
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	22,370	$50	$1M
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.	4,090	$20	$98.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4,130	$20	$74.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	690	$40	$28.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	410	$40	$17.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	2,910	$10	$14.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	400	$30	$11.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	270	$30	$8K
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…	310	$20	$5.9K
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…	460	$10	$5.1K

Showing 1–10 of 45

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

Tombigbee Healthcare Authority — 0 of 23 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	33	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.	168	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.	125	230	5,160	$40	$474.1K
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…	66	120	500	$50	$317.7K
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…	1,164	1,990	680	$60	$201.7K
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…	1,058	1,990	560	$40	$185.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	78	100	610	$40	$152.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	125	250	420	$50	$133K
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.	46	130	420	$40	$106K
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.	144	200	2,000	$10	$105.9K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tombigbee Healthcare Authority	AL	Rural Health Clinic/Center	$0	$1.7M
Tombigbee Healthcare Authority	AL	General Acute Care Hospital	$0	$1.5M
Douglas Tucker	MS	Anesthesiology Physician	$352K	$0
James Proctor	AL	Interventional Cardiology Physician	$340.8K	$0
Macy Smith	AL	Clinical Cardiac Electrophysiology Physician	$282.7K	$0
Mohamed Hassan	AL	Internal Medicine Physician	$264.3K	$0
John Eagan	AL	Cardiovascular Disease Physician	$254.9K	$0
Ashvini Sengar	AL	Hematology & Oncology Physician	$253.9K	$0
Alejandro Garcia	AL	Hematology & Oncology Physician	$230.4K	$0
Sanjeev Hasabnis	AL	Clinical Cardiac Electrophysiology Physician	$210.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Icare LLC	AL	Optometrist	$0	$8.5M
Comfort Care Hospice, LLC	AL	Community Based Hospice Care Agency	$0	$1.6M
Dva Healthcare Renal Care Inc	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Bb&h Wellness Services	AL	Community/Behavioral Health Agency	$0	$1.2M
Michael Cappelli	AL	Radiation Oncology Physician	$291.6K	$0
Air Evac Ems Inc	AL	Air Ambulance	$213.1K	$19.4K
Ronnie Chu	AL	Family Medicine Physician	$174.8K	$0
Gregory Green	AL	Optometrist	$110.8K	$0
Archie Hooper	AL	Family Medicine Physician	$106.7K	$0
Keith Dismukes	AL	Family Medicine Physician	$85.5K	$0

Tombigbee Healthcare Authority — Billing Profile & Reimbursement Data

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Tombigbee Healthcare Authority — 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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