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.

Marshall Medical Center North (NPI 1598997728)

Field	Value
Entity Type	Organization
Organization	Marshall Medical Center North
Address	8000 Al Highway 69
City	Guntersville
State	AL
ZIP	35976
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 21, 2009

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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.	22,330	$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.	14,000	$30	$475.9K
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.	6,320	$60	$360.4K
G9744	Patient not eligible due to active diagnosis of hypertension	610	$0	$0

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

Marshall Medical Center North — 0 of 3 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

4 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.	34	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.	41	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.	61	230	5,160	$40	$474.1K
G9744	Patient not eligible due to active diagnosis of hypertension	10	30	260	$0	$0

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hh Health System - Marshall LLC	AL	General Acute Care Hospital	$0	$6.9M
Marshall Medical Center South	AL	General Acute Care Hospital	$0	$2.8M
Hh Health System - Marshall LLC	AL	Land Ambulance	$967.5K	$952.4K
Gary Calhoun	AL	Family Medicine Physician	$177.8K	$0
Jeffrey Saylor	AL	Family Medicine Physician	$154K	$0
Enrico Gaspar	AL	Internal Medicine Physician	$108.8K	$0
Rommel Go	AL	Family Medicine Physician	$97.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marshall County Pediatrics, PC	AL	Specialist	$0	$5.4M
Premier Family Care, LLC	AL	Rural Health Clinic/Center	$0	$3.5M
Vivian Nell Hannon	AL	Rural Health Clinic/Center	$0	$1.5M
Matthew Ticola Dmd LLC	AL	Pediatric Dentistry	$0	$1.2M
North Marshall Pediatrics, P.C.	AL	Pediatrics Physician	$0	$928.4K
Marshall County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$845.2K
Joshua Wharton	AL	Dermatology Physician	$467.3K	$0
David Campbell	AL	Family Medicine Physician	$357.7K	$0
Matthew Smith	AL	Sports Medicine (Orthopaedic Surgery) Physician	$336.3K	$0
Taylor Prince	AL	Family Nurse Practitioner	$156.8K	$0

Marshall Medical Center North — Billing Profile & Reimbursement Data

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Marshall Medical Center North — 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