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.

North Mississippi Medical Center, Inc. (NPI 1598875460)

Field	Value
Entity Type	Organization
Organization	North Mississippi Medical Center, Inc.
Address	830 S Gloster St
City	Tupelo
State	MS
ZIP	38801
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$117.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused hospital: there is no Medicare billing on file while total Medicaid revenue is $117.7M, and the NPI was enumerated on 2006-08-30 (~20 years ago), indicating long-standing participation in public programs. The absence of Medicare receipts combined with meaningful Medicaid scale suggests payer concentration risk and operational alignment toward Medicaid-covered services.

Revenue concentration is high: the top three Medicaid codes (99284, 99285, G0378) account for 40.3% of the provider's total Medicaid revenue, driven by $17.4M from 99284 (22.0%), $9.1M from 99285 (11.4%), and $5.5M from G0378 (6.9%). This concentration highlights the hospital's financial reliance on emergency department E/M and hospital observation services as primary revenue drivers.

The code mix signals a high-volume, high-acuity emergency and observation footprint: 99284 (ED moderate MDM) has 92.3K claims and ranks #3 of 227 in-state (99th percentile; extreme outlier), 99285 (ED high MDM) has 36.6K claims and ranks #9 of 175 (95th percentile; notably above typical), and G0378 (hospital observation per hour) has 12K claims and ranks #5 of 72 (94th percentile). Together these patterns are consistent with a busy ED that also converts or manages patients in observation status rather than inpatient stays.

Infusional, oncology, and specialty injectable services are a distinct business line: J2357 (omalizumab) generates $5.4M and ranks #1 of 8 in-state (100th percentile; notably above typical), J9271 (pembrolizumab) yields $3.8M and ranks #3 of 14 (85th percentile; typical), and chemotherapy/infusion administration codes such as 96413, 96365, 96374 appear as high-volume items (96413 ranks #2 of 26 at 96th percentile; 96365 ranks #2 of 92 at 99th percentile; 96374 ranks #2 of 89 at 99th percentile). These data indicate institutional capacity for oncology infusions and specialty drug delivery.

Rehabilitation and therapy services are unusually large for an acute-care hospital: 97530 accounts for $4.7M from 78.8K claims and ranks #3 of 343 in-state (99th percentile; extreme outlier), and 92507 has 49.2K claims for $2.5M and ranks #5 of 224 (98th percentile; extreme outlier). High volumes of physical and speech therapy suggest a sizable outpatient rehab footprint that materially contributes to Medicaid revenue.

Operational throughput is supported by very high volumes of short-duration and supportive services: 96372 (42.3K claims, $1.7M) ranks #3 of 751 (100th percentile; extreme outlier), 96375 (42.4K claims, $1.2M) ranks #1 of 98 (100th percentile; extreme outlier), and 71045 (36.8K claims, $1.4M) ranks #10 of 192 (95th percentile). The mix of frequent injections, IV pushes, and imaging points to heavy ED/observation/imaging throughput and significant nursing and infusion-chair demand.

The provider shows repeated statewide dominance or near-dominance on multiple codes: several services are ranked #1 in-state (for example J2357 and J0897) or fall in the 99th–100th percentile across high-volume codes (e.g., 99284, 97530, 96365, 96374, 96372, 96375, 96361). This competitive standing marks the hospital as a major Medicaid service hub in Mississippi for emergency care, infusion/oncology, and therapy.

One financial and operational implication is concentration risk and capacity exposure: with $117.7M of Medicaid revenue and 40.3% of that revenue tied to three ED/observation codes, changes in ED utilization patterns or Medicaid reimbursement for these services would disproportionately affect revenue. At the same time, the facility’s high-ranked positions on specialty injectables and infusion administration suggest opportunities to defend or expand higher-acuity outpatient services, but also create reliance on a relatively narrow set of high-volume Medicaid-reimbursed procedures.

Medicaid: Complete Services Breakdown

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

637 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.	92,270	$190	$17.4M
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.	36,560	$250	$9.1M
G0378	Hospital observation service, per hour	11,950	$460	$5.5M
J2357	Injection, omalizumab, 5 mg	3,730	$1,460	$5.4M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	78,810	$60	$4.7M
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.	32,240	$140	$4.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	39,410	$110	$4.2M
J9271	Injection, pembrolizumab, 1 mg	940	$4,020	$3.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	49,230	$50	$2.5M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	15,050	$150	$2.2M

Showing 1–10 of 637

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

North Mississippi Medical Center, Inc. — 20 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

637 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2323	Injection, natalizumab, 1 mg	2	10	1,130	$1,930	$2.2M
J9271	Injection, pembrolizumab, 1 mg	3	10	390	$3,870	$2M
86902	The lab analyst performs an antigen test to screen a potential donor blood unit using reagent serum for possible reactive antigens by mixing part of the unit with serum from the recipient patient.	3	10	170	$290	$2M
G0378	Hospital observation service, per hour	5	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.	3	230	3,260	$120	$1.4M
J2357	Injection, omalizumab, 5 mg	1	10	640	$1,020	$1.3M
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.	23	220	5,690	$100	$1.2M
J9312	Injection, rituximab, 10 mg	2	10	470	$2,520	$1.2M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2	10	230	$1,730	$1.1M
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.	9	180	3,000	$140	$1.1M

Showing 1–10 of 637

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Mississippi Medical Clinics Inc	MS	Internal Medicine Physician	$0	$16.9M
Pontotoc Health Services, Inc.	MS	Critical Access Hospital	$0	$11.6M
North Mississippi Medical Center Inc.	MS	Rural Health Clinic/Center	$0	$7.7M
North Mississippi Medical Center Inc.	MS	Internal Medicine Physician	$0	$2.9M
North Mississippi Medical Center, Inc.	MS	Home Health Agency	$0	$1.6M
North Mississippi Medical Center Inc.	MS	Rural Health Clinic/Center	$0	$1.5M
North Mississippi Medical Center, Inc.	MS	Maternal & Fetal Medicine Physician	$0	$1.2M
William Carroll	MS	Cardiovascular Disease Physician	$1.1M	$0
Doyle Renfroe	MS	Urology Physician	$1.1M	$2.5K
Brent Hardin	MS	Urology Physician	$974.2K	$4.2K

Nearby Providers

Other providers in the same ZIP code as North Mississippi Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Happy Smiles Dentistry - Tupelo LLC	MS	General Practice Dentistry	$0	$16.2M
North Mississippi Ambulatory Surgery Center LLC	MS	Ambulatory Surgical Clinic/Center	$1.5M	$7.1M
Relias Emergency Medicine Specialists Of Tupelo LLC	MS	Emergency Medicine Physician	$0	$8.4M
Sog Surgery Center LLC	MS	Ambulatory Surgical Clinic/Center	$7.5M	$480
Prescribed Pediatric Extended Care, Inc	MS	Medically Fragile Infants and Children Day Care	$0	$7.2M
Kare-in-home Hospice Of North Mississippi, LLC	MS	Community Based Hospice Care Agency	$0	$5M
North Mississippi Allergy And Asthma Center PLLC	MS	Allergy & Immunology Physician	$0	$4.3M
Sanders Clinic For Women PA	MS	Obstetrics & Gynecology Physician	$0	$3.8M
Magnolia Manor Of Tupelo	MS	Preferred Provider Organization	$0	$3.4M
Ivancic Pediatric Clinic PA	MS	Primary Care Clinic/Center	$0	$3.3M

North Mississippi Medical Center, Inc. — Billing Profile & Reimbursement Data

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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