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.

Anderson Regional Medical Center (NPI 1649226952)

Key Findings

Field	Value
Entity Type	Organization
Organization	Anderson Regional Medical Center
Address	2124 14th St
City	Meridian
State	MS
ZIP	39301
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$32.5M
Medicare	$0

ANDERSON REGIONAL MEDICAL CENTER is a General Acute Care Hospital located in MERIDIAN, MS with an NPI enumeration date of 2006-05-26 (~20 years ago), indicating long-standing enrollment in federal programs. The taxonomy and tenure are consistent with a full-service hospital that has been operating for roughly two decades.

This provider has no Medicare billing on file and reports $32.5M in total Medicaid revenue, making its current public-payer footprint effectively single-payer (Medicaid) in scope. The absence of Medicare claims on file means any Medicare-facing competitive or revenue analysis is not applicable for this entity.

Revenue concentration is high: the top three Medicaid codes (99285, 99284, G0378) account for 48.8% of the provider’s total Medicaid revenue. Those three codes individually generate $5.1M (20.1%), $4.4M (17.4%), and $2.8M (11.3%) respectively, indicating nearly half of Medicaid dollars are tied to emergency department evaluation-and-management and observation services.

The code mix and volumes point to an ED- and observation-centered operation. High counts and revenue for emergency E/M codes — 99285 (24.3K claims, $5.1M), 99284 (23.6K claims, $4.4M), and 99283 (17.7K claims, $2.5M) — together with hospital observation service G0378 (7K claims, $2.8M) indicate substantial ED throughput with frequent use of observation-hour billing rather than inpatient conversion. Ancillary imaging, labs, and monitoring codes in the top list further support the conclusion that acute, unscheduled care drives the facility’s case mix.

A substantial procedural and ancillary footprint supports the acute-care activity: high-volume infusion/injection and respiratory codes such as 96374 (13.9K claims, $1.1M), 96365 (10.8K claims, $886.4K), 96372 (23.4K claims, $820.1K), 96361 (7.7K claims, $580K), and 94640 (8.6K claims, $771.8K) show frequent IV/IM/oxygen therapies. Imaging and lab support are also prominent, with 74177 (4.8K claims, $708.8K), 71045 (19.3K claims, $677.1K), 70450 (9.1K claims, $444.8K), and laboratory codes like 85025 (62.7K claims, $313.6K) and 87426 (11.9K claims, $343.7K) appearing among top-revenue items.

Competitive standing versus in-state peers is mixed: ED and observation codes place the hospital in solid but not dominant positions — 99285 ranks #15 of 175 providers in-state (92th percentile; typical, unremarkable volume), 99284 ranks #32 of 227 (86th percentile; typical, unremarkable volume), and G0378 ranks #13 of 72 (83th percentile; typical, unremarkable volume). However, the provider does exhibit pronounced outlier volumes for specific services — for example, 96372 ranks in the 98th percentile and is labeled an "extreme outlier, far above typical state volume," indicating exceptionally high injection volumes compared with peers.

Several codes are flagged as notably above typical or extreme outliers, suggesting concentration in specific clinic workflows: 96372 is an extreme outlier (98th percentile), and codes such as 87426 (97th percentile; notably above typical), 85025 (97th percentile; notably above typical), and 87804 (97th percentile; notably above typical) point to unusually high volumes of certain laboratory and diagnostic testing. These statistical labels indicate the hospital’s practice patterns for injections, point-of-care and instrumented testing, and routine labs are materially higher than typical in-state providers.

From a payer and utilization-management perspective, the combination of concentrated Medicaid revenue, large ED claim counts, and high observation-hour billing suggests both a negotiation risk/opportunity and a focal area for utilization review. Because nearly half the Medicaid revenue is tied to emergency/observation codes and there is no Medicare revenue to diversify payer exposure, payers managing Medicaid contracts should prioritize review of ED throughput, observation utilization (G0378), and high-volume infusion/injection workflows as potential levers for cost and care pathway management.

Medicaid: Complete Services Breakdown

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

335 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	24,320	$210	$5.1M
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.	23,640	$190	$4.4M
G0378	Hospital observation service, per hour	7,020	$410	$2.8M
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.	17,680	$140	$2.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,910	$80	$1.1M
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.	10,810	$80	$886.4K
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…	23,430	$40	$820.1K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	8,580	$90	$771.8K
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.	4,790	$150	$708.8K
71045	In 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…	19,350	$40	$677.1K

Showing 1–10 of 335

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

Anderson Regional Medical Center — 4 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

335 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	13	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.	32	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.	55	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.	15	180	3,000	$140	$1.1M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	4	10	1,930	$190	$979.6K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	19	30	70	$1,790	$891.2K
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…	19	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.	16	90	4,540	$90	$665.4K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	40	50	300	$510	$483.3K
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.	8	90	2,110	$80	$325.8K

Showing 1–10 of 335

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson Regional Medical Center	MS	Rural Health Clinic/Center	$0	$5.4M
Anderson Regional Medical Center	MS	General Acute Care Hospital	$0	$4.1M
Amanda Fowler	MS	Rheumatology Physician	$3.4M	$0
Elizabeth Herrington	MS	Medical Oncology Physician	$1.9M	$0
Wesley Bennett	MS	Interventional Cardiology Physician	$1.1M	$0
Thomas Plavac	MS	Cardiovascular Disease Physician	$1M	$0
Edwin Purvis	MS	Cardiovascular Disease Physician	$676.4K	$0
Larry Shea Hailey	MS	Cardiovascular Disease Physician	$659.8K	$0
Jennifer Rodriguez	MS	Cardiovascular Disease Physician	$646.2K	$0
Benedict Ewaleifoh	MS	Internal Medicine Physician	$626.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rush Medical Foundation	MS	General Acute Care Hospital	$0	$29.4M
Meridian Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$9.3M
Lauderdale County Ems District	MS	Ambulance	$2.1M	$6.4M
Southern Home Private Care LLC	MS	Homemaker	$0	$6M
Kevin Douglas	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.9M
Douglas Orthodontics PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Laird Hospital, Inc	MS	Rural Health Clinic/Center	$0	$5.3M
Medical Foundation, Inc.	MS	Clinical Medical Laboratory	$1M	$4.2M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Ms Eye Care PA	MS	Optometrist	$0	$4.4M

Anderson 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