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.

Clay County Medical Corporation (NPI 1639284409)

Clay County Medical Corporation is a general acute care hospital provider located in West Point, Mississippi. This profile covers 0 Medicare and 213 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Clay County Medical Corporation
Address	150 Medical Center Dr
City	West Point
State	MS
ZIP	39773
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$16.1M
Medicare	$0

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

213 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.	16,220	$200	$3.3M
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.	18,030	$140	$2.6M
G0378	Hospital observation service, per hour	3,320	$360	$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.	3,480	$230	$799.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,570	$110	$794.3K
99282	The 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.	7,680	$80	$614.5K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	9,510	$60	$532.7K
96372	A 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…	13,350	$40	$480.5K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6,400	$60	$377.8K
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.	3,490	$100	$348.5K

Showing 1–10 of 213

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

Clay County Medical Corporation — 3 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

213 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	24	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.	50	230	3,260	$120	$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.	53	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.	77	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…	20	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.	32	90	4,540	$90	$665.4K
86885	The lab analyst performs an indirect antihuman globulin test, also called a Coombs test, to determine whether antibodies are present in patient serum.	7	10	3,070	$70	$467.6K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	6	10	90	$940	$428.5K
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.	32	90	2,110	$80	$325.8K
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.	48	110	1,250	$110	$311.6K

Showing 1–10 of 213

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clay County Medical Corporation	MS	Rural Health Clinic/Center	$0	$7.3M
Benjamin Hinton	AL	Radiation Oncology Physician	$437.5K	$0
Jiahuai Tan	NY	Internal Medicine Physician	$350.6K	$0
Usman Khan	AL	Hematology & Oncology Physician	$183.2K	$0
Catherine Eldridge	MS	Family Nurse Practitioner	$146.2K	$0
Kenneth Thomas	MS	Urology Physician	$137K	$0
Paul Roberts	MS	Radiation Oncology Physician	$102.6K	$0
John Browning	MS	Emergency Medicine Physician	$85K	$0
Robert Buckley	MS	Family Medicine Physician	$72.8K	$0
Alyson Dickerson	MS	Certified Registered Nurse Anesthetist	$50.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Seven Mental Health Intellectual Disabilities Comm	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$73M
Renal Care Group Tupelo, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Phillip Hooker	MS	Specialist	$469.6K	$940
Stacey George	MS	Certified Registered Nurse Anesthetist	$57.8K	$0
John Shields	MS	Obstetrics & Gynecology Physician	$10.5K	$0
Rebecca Mitchener	MS	Family Nurse Practitioner	$4.8K	$0

Clay County Medical Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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