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    OpenPayerNPI Medicare & MedicaidBaptist Memorial Hospital - Golden Triangle Inc.
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    Baptist Memorial Hospital - Golden Triangle Inc. — Billing Profile & Reimbursement Data

    NPI 1609830173 · Columbus, MS · General Acute Care Hospital

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    Baptist Memorial Hospital - Golden Triangle Inc. is a general acute care hospital provider located in Columbus, Mississippi. This profile covers 0 Medicare and 366 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBaptist Memorial Hospital - Golden Triangle Inc.
    Address2520 5th St N
    CityColumbus
    StateMS
    ZIP39705
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedApril 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$55.8M
    Medicare$0

    Key Findings

    Payer mix and scale: this provider has no Medicare billing on file and reports $55.8M in lifetime Medicaid revenue, making it effectively a Medicaid-focused facility in the available billing data rather than a dual-payer operation. The absence of Medicare activity means analysis of scale and utilization should be anchored to the Medicaid footprint shown here rather than mixed-payer comparisons.

    Revenue concentration: precomputed top 3 Medicaid codes account for 49.7% of this provider's total Medicaid revenue. Those top contributors are 99284 ($8.9M, 21.4% of Medicaid revenue; 53.1K claims, $167 avg paid/claim), 99283 ($6.4M, 15.6%; 50.8K claims, $127 avg paid/claim), and 99285 ($5.3M, 12.7%; 31.3K claims, $168 avg paid/claim), indicating a small number of service lines dominate Medicaid receipts.

    Service-line implication — emergency department focus: the top three revenue-driving codes are all emergency department E/M visits (99284, 99283, 99285) with very large claim counts (53.1K, 50.8K, 31.3K respectively). This mix signals that emergency department throughput and episodic acute care visits are the primary operational driver of Medicaid revenue at this hospital, with substantial volumes across low, moderate, and high complexity ED visit levels.

    Competitive standing within state — ED dominance: for the high-volume ED codes the provider ranks in the top percentiles statewide (99284 and 99283 both at the 97th percentile, 99285 at the 94th percentile), indicating it is a major ED player in Mississippi relative to peers. Those ranks (for example #7 of 227 for 99284 and #7 of 223 for 99283) support classification as a leading regional ED source rather than a modest participant.

    High utilization of infusions, injections, and observation: the facility shows large volumes for infusion and injection codes (96374 27.1K claims, 96372 48.2K claims, 96375 29K claims, 96365 9.2K claims, 96361 16.8K claims) and observation services (G0378 3.5K claims). The mix suggests available on-site IV therapy and post-ED observation capacity that complements high emergency visit volumes and contributes materially to Medicaid revenue.

    Statistical outliers and exceptional volumes: several non-ED codes are labelled as extreme or far above typical state volume — 96372 ranks #1 of 751 (100th percentile; extreme outlier), 87804 (53.6K claims) and 80053 (96.8K claims) each rank in the 99th percentile and are described as extreme outliers, and U0002 ranks #1 of 85 (100th percentile; extreme outlier). These flags denote unusually high lab and testing throughput (including COVID testing) and routine lab panels relative to in-state peers, reinforcing a very high-volume operational profile.

    Pre-hospital and transport footprint: ambulance-related codes appear among the top Medicaid billers (A0429 12.9K claims, A0425 18.6K claims, A0427 10.8K claims), indicating substantial EMS transport activity associated with the facility. While the ranks for these ambulance codes are more typical or unremarkable statewide, the absolute claim counts point to significant inbound and outbound patient transport tied to the hospital's ED-centric services.

    Tenure and stability: the provider's NPI has been enumerated since 2006-04-13 (~20 years), establishing it as an established acute-care hospital in the market. The combination of long tenure, concentrated ED-driven Medicaid revenue, and multiple extreme-volume codes suggests durable service lines and a stable role as a high-volume Medicaid acute care and emergency provider in-state.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    366 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.53,080$170$8.9M
    99283The 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.50,760$130$6.4M
    99285The 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.31,300$170$5.3M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.27,090$70$1.9M
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…48,170$40$1.7M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)12,870$110$1.5M
    A0425Ground mileage, per statute mile18,640$70$1.3M
    G0378Hospital observation service, per hour3,480$360$1.3M
    99282The 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.15,180$80$1.2M
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…32,060$40$1.2M

    Showing 1–10 of 366

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    366 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271Injection, pembrolizumab, 1 mg1010390$3,870$2M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)14504,400$160$1.9M
    G0378Hospital observation service, per hour23701,480$370$1.4M
    99284The 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.72303,260$120$1.4M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)8402,590$160$1.4M
    J2357Injection, omalizumab, 5 mg410640$1,020$1.3M
    99283The 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.72205,690$100$1.2M
    99285The 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.111803,000$140$1.1M
    96413Chemotherapy 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…6305,050$120$762K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.6904,540$90$665.4K

    Showing 1–10 of 366

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Baptist Memorial Hospital - Golden Triangle Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John KingMSInterventional Cardiology Physician$1.5M$0
    Kevin CollinsTNRadiation Oncology Physician$338.4K$0
    Amirhossein ZangiabadiCANeurology Physician$274.7K$0
    Brett BrownMSInternal Medicine Physician$244.7K$0
    Julius KatoOHCardiovascular Disease Physician$238.7K$0
    David JonesTNVascular & Interventional Radiology Physician$86.3K$0
    Carole StancillNCCertified Registered Nurse Anesthetist$41.5K$0
    Christy BlackMSCertified Registered Nurse Anesthetist$30.6K$0
    Monica HocuttNCCertified Registered Nurse Anesthetist$28.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Baptist Memorial Hospital - Golden Triangle Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatrust Columbus, LLCMSPediatric Skilled Nursing Facility$0$12M
    United Emergency Services Of MississippiMSEmergency Medicine Physician$0$7.8M
    Columbus Orthopedic OutpatientMSAmbulatory Surgical Clinic/Center$2.5M$158K
    David CurtisMSPediatric Dentistry$0$2.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.1M
    Katie Curtis Windham Dmd PLLCMSPediatric Dentistry$0$2M
    Eye Laser & Surgery Center Of Columbus, LLCMSAmbulatory Surgical Clinic/Center$1.5M$293.8K
    Oral & Facial Surgical CenterMSOral and Maxillofacial Surgery (Dentist)$0$1.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Columbus Endoscopy Center, LLCMSAmbulatory Surgical Clinic/Center$706K$606K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Baptist Memorial Hospital - Golden Triangle Inc. — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi