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.

South Central Regional Medical Center (NPI 1619973542)

Field	Value
Entity Type	Organization
Organization	South Central Regional Medical Center
Address	1220 Jefferson St
City	Laurel
State	MS
ZIP	39440
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$48.1M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-focused hospital: there is no Medicare billing on file while total Medicaid revenue is $48.1M, indicating near‑exclusive reliance on Medicaid for the claims captured here. That concentration in a single payer should be a primary consideration for payer mix risk and contracting analyses.

Revenue is highly concentrated in emergency department E/M services: the top three Medicaid codes are 99284 ($7M, 19.0%), 99283 ($6.2M, 16.8%), and 99285 ($4.5M, 12.1%), and these three codes together account for 47.9% of the provider's Medicaid revenue. This indicates the ED is the dominant revenue driver and any changes in emergency care reimbursement or volume will materially affect the provider’s revenue profile.

The code mix points to a high-throughput acute care and observation operation: frequent use of ED E/M codes (99282–99285), hospital observation G0378 ($2M, rank #6 of 72, 93th percentile), and ambulance mileage A0425 ($999.6K, rank #12 of 54, 79th percentile) suggests strong ED-to-observation throughput and significant emergency transport activity supporting that flow. Imaging and diagnostic procedures like 74177 ($990.9K, rank #18 of 112, 85th percentile) and 70450 ($502.6K, rank #15 of 145, 90th percentile) further support an on‑site acute diagnostic capability.

Infusion and injectable therapies are a prominent ancillary service line: 96374 ($2.1M, rank #7 of 89, 93th percentile), 96365 ($1M, rank #9 of 92, 91th percentile), 96372 ($702.4K, rank #27 of 751, 97th percentile), and 96375 ($644.8K, rank #10 of 98, 91th percentile) all appear in the top codes and several are described as notably above typical state volume. Those high percentiles indicate the hospital provides substantial IV medication and infusion services relative to in‑state peers.

Rehabilitation and therapy services are unusually large relative to peers: 97110 accounts for $1.3M of Medicaid revenue and ranks #7 of 366 providers (98th percentile) and is explicitly labeled an "extreme outlier, far above typical state volume." Combined with 97530 ($860.6K, rank #24 of 343, 93th percentile), this suggests a substantial physical/occupational therapy footprint beyond what many statewide peers report.

While the ED codes drive revenue concentration, the provider’s statewide competitive standing is that of a high‑volume but largely typical ED provider: 99284 ranks #16 of 227 (93th percentile), 99283 ranks #12 of 223 (95th percentile), and 99285 ranks #18 of 175 (90th percentile). In plain terms, the hospital is a major ED participant in Mississippi with high absolute volume compared with many peers, though those volumes are characterized in the data as "typical, unremarkable" within their peer sets.

Ancillary diagnostics and newer lab testing are also notable and consistent with an active acute care hospital: U0003 (SARS‑CoV‑2 testing) is $522.1K (rank #5 of 56, 93th percentile), 87633 is $484.6K (rank #6 of 30, 83th percentile), and 93005 ECGs appear at $533.3K (rank #10 of 113, 92th percentile). These code-level placements show the facility maintains a broad diagnostic portfolio that supports high ED and observation volumes.

The provider has a long-established NPI (enumerated 2005-06-24, ~21 years), underscoring an enduring presence in Laurel, MS; combined with the Medicaid revenue scale and code mix, this tenure is consistent with a long‑standing regional acute care and safety‑net role rather than a newly entered or specialized outpatient facility.

Medicaid: Complete Services Breakdown

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

336 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.	35,470	$200	$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.	41,560	$150	$6.2M
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.	21,440	$210	$4.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	21,840	$100	$2.1M
G0378	Hospital observation service, per hour	11,240	$170	$2M
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…	24,440	$60	$1.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	60,570	$20	$1.3M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	10,670	$100	$1M
A0425	Ground mileage, per statute mile	20,830	$50	$999.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,970	$170	$990.9K

Showing 1–10 of 336

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

South Central Regional Medical Center — 5 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

336 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	11	10	390	$3,870	$2M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	19	50	4,400	$160	$1.9M
G0378	Hospital observation service, per hour	6	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.	16	230	3,260	$120	$1.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	11	40	2,590	$160	$1.4M
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.	12	220	5,690	$100	$1.2M
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.	18	180	3,000	$140	$1.1M
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	30	5,050	$120	$762K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7	90	4,540	$90	$665.4K
A0425	Ground mileage, per statute mile	12	50	5,330	$30	$618.3K

Showing 1–10 of 336

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Central Clinics, Inc	MS	Emergency Medicine Physician	$0	$4.5M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$4.4M
South Central Clinics, Inc.	MS	Rural Health Clinic/Center	$0	$3.8M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$3.3M
South Central Clinics, Inc	MS	Hospitalist Physician	$0	$1.3M
Brett Barlow	MS	Hematology & Oncology Physician	$1.3M	$0
South Central Clinics, Inc.	MS	Obstetrics & Gynecology Physician	$0	$1.3M
David Roy	MS	MOHS-Micrographic Surgery Physician	$1.2M	$0
Wassim Mouannes	MS	Cardiovascular Disease Physician	$348K	$0
Gulshan Oberoi	MS	Neurology Physician	$344.5K	$0

Nearby Providers

Other providers in the same ZIP code as South Central Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chateau Adult Day Center, LLC	MS	In Home Supportive Care Agency	$0	$14.8M
Jones Family Medicine Clinic PLLC	MS	Primary Care Clinic/Center	$0	$9.4M
Asap Ems Corporation	MS	Land Ambulance	$850.3K	$5.4M
Magnolia Gardens Assisted Living	MS	Assisted Living Facility (Behavioral Disturbances)	$0	$5.4M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Tender Loving Care Homecare LLC	MS	In Home Supportive Care Agency	$0	$4.1M
Laurel Surgery & Endoscopy Center, LLC	MS	Ambulatory Surgical Clinic/Center	$520.6K	$3.4M
South Central Regional Medical Center	MS	Ambulance	$0	$3.1M
Mary Darby-mclaurin	MS	Hospice Registered Nurse	$0	$2.9M
Pathway Healthcare- Mississippi LLC	MS	Addiction Medicine (Family Medicine) Physician	$0	$2.6M

South Central Regional Medical Center — Billing Profile & Reimbursement Data

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South Central Regional Medical Center — 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