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.

Specialty Orthopedic Group Of Mississippi PLLC (NPI 1639553506)

Field	Value
Entity Type	Organization
Organization	Specialty Orthopedic Group Of Mississippi PLLC
Address	1211 S Gloster St Ste A
City	Tupelo
State	MS
ZIP	38801
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 10, 2015

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	19,420	$20	$466.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	11,860	$30	$296.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	7,470	$40	$261.6K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	4,170	$10	$58.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	2,330	$20	$53.6K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	4,370	$10	$26.2K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	2,020	$10	$24.3K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	2,700	$10	$21.6K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	2,680	$10	$21.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1,560	$10	$15.6K

Showing 1–10 of 46

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

Specialty Orthopedic Group Of Mississippi PLLC — 6 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	116	1,910	930	$60	$278.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	109	1,670	720	$50	$196.4K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	26	30	390	$70	$128.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	337	670	230	$60	$89.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	138	270	130	$60	$57.4K
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…	387	750	400	$20	$52.5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	24	490	90	$70	$49.9K
72170	In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.	8	30	70	$40	$39.5K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	2	10	320	$20	$36.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	7	680	100	$50	$34.8K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Specialty Orthopedic Group Of Mississippi PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robin Mcdonald	MS	Family Nurse Practitioner	$1.3M	$0
Rowland Roberson	MS	Orthopaedic Surgery Physician	$585.6K	$0
Tyler Marks	MS	Orthopaedic Hand Surgery Physician	$527.4K	$0
Matthew Miller	MS	Orthopaedic Surgery Physician	$488.5K	$0
William Seely	TN	Interventional Pain Medicine Physician	$409K	$0
Phillip Sandifer	MS	Orthopaedic Surgery Physician	$376.3K	$0
Douglas Tucker	MS	Anesthesiology Physician	$352K	$0
Taylor Mathis	MS	Orthopaedic Surgery Physician	$286.9K	$0
Richard Rainey	MS	Sports Medicine (Orthopaedic Surgery) Physician	$274.1K	$0
Jeremy Smitherman	MS	Pain Medicine Physician	$256.1K	$0

Nearby Providers

Other providers in the same ZIP code as Specialty Orthopedic Group Of Mississippi PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Mississippi Medical Center, Inc.	MS	General Acute Care Hospital	$0	$117.7M
North Mississippi Medical Clinics Inc	MS	Internal Medicine Physician	$0	$16.9M
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

Specialty Orthopedic Group Of Mississippi PLLC — Billing Profile & Reimbursement Data

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Specialty Orthopedic Group Of Mississippi PLLC — 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