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.

Southern Mississippi Neonatology, PA (NPI 1578691499)

Field	Value
Entity Type	Organization
Organization	Southern Mississippi Neonatology, PA
Address	6051 U S Highway 49
City	Hattiesburg
State	MS
ZIP	39401
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4,430	$310	$1.4M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	7,060	$100	$713.5K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	370	$740	$273.1K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1,000	$100	$100.1K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	1,340	$60	$84.4K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	1,640	$50	$80.2K
99381	The provider performs a well–baby visit for a child under the age of one.	340	$80	$26.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,240	$10	$17.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	220	$80	$17.1K
99478	The provider directs the care of a recovering low birthweight infant, whose current weight is less than 1500 grams.	50	$130	$6.7K

Showing 1–10 of 13

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

Southern Mississippi Neonatology, PA — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	2	10	4,210	$260	$1.5M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	10	7,850	$90	$871.8K
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…	1,368	1,670	720	$50	$196.4K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	2	10	430	$90	$172.6K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	2	10	40	$550	$84.7K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	14	60	450	$70	$73.7K
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…	113	160	300	$40	$41.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	41	90	190	$30	$30.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	10	30	410	$20	$30.2K
99381	The provider performs a well–baby visit for a child under the age of one.	14	70	80	$90	$19.9K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Southern Mississippi Neonatology, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region 12 Commission On Mental Health & Retardation Pine Belt Men	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$108.3M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$81.6M
Hattiesburg Clinic PA	MS	Multi-Specialty Clinic/Center	$0	$59.5M
Doves Home Care	MS	Home Health Agency	$0	$12M
Neighborhood Healthcare Providers	MS	Internal Medicine Physician	$0	$10.9M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$7.9M
Hattiesburg Clinic PA	MS	Ambulatory Surgical Clinic/Center	$4.5M	$2.4M
Top Choice Healthcare	MS	In Home Supportive Care Agency	$0	$6M
Hattiesburg Clinic PA	MS	Clinical Medical Laboratory	$2.2M	$3.3M
Relias Emergency Medicine Specialists Of Hattiesburg LLC	MS	Emergency Medicine Physician	$0	$5M

Southern Mississippi Neonatology, PA — Billing Profile & Reimbursement Data

Sign up for Southern Mississippi Neonatology, PA — Billing Profile & Reimbursement Data policy alerts

Southern Mississippi Neonatology, PA — Billing Profile & Reimbursement Data

Sign up for Southern Mississippi Neonatology, PA — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References