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.

Yalobusha General Hospital (NPI 1649397308)

Yalobusha General Hospital is a general acute care hospital provider located in Water Valley, Mississippi. This profile covers 0 Medicare and 75 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	Yalobusha General Hospital
Address	630 South Main Street
City	Water Valley
State	MS
ZIP	38965
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70,720	$10	$919.4K
A0425	Ground mileage, per statute mile	2,480	$90	$225.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	49,300	$1	$197.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	19,380	$10	$155.1K
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…	2,100	$60	$119.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	14,390	$10	$86.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	2,760	$30	$82.9K
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…	9,560	$10	$76.5K
G0378	Hospital observation service, per hour	220	$320	$70.8K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	20,460	$1	$61.4K

Showing 1–10 of 75

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

Yalobusha General Hospital — 7 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

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	33	50	4,400	$160	$1.9M
G0378	Hospital observation service, per hour	64	70	1,480	$370	$1.4M
A0425	Ground mileage, per statute mile	40	50	5,330	$30	$618.3K
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…	44	220	1,590	$50	$291.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	11	340	4,380	$20	$210.2K
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…	6	370	4,870	$20	$189.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	88	110	3,930	$20	$166.4K
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…	167	190	2,360	$20	$154.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	18	60	190	$40	$111.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	81	240	880	$20	$96.5K

Showing 1–10 of 75

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Emergency Physicians LLC	KY	Emergency Medicine Physician	$0	$208.5M
Baptist Memorial Medical Group Inc	TN	Internal Medicine Physician	$0	$35.6M
Southeastern Emergency Physicians Of Memphis LLC	IL	Emergency Medicine Physician	$0	$26.5M
Yalobusha General Hospital	MS	Rural Health Clinic/Center	$0	$1.8M
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K
Adel Abdalla	FL	Diagnostic Radiology Physician	$259.9K	$6.1K
Joseph Oliver	MS	Diagnostic Radiology Physician	$171.5K	$0
Jason Morris	MS	Body Imaging Physician	$120.9K	$0
Kimberly Webb	MS	Family Medicine Physician	$82.9K	$0
Chastity Heath	MS	Family Nurse Practitioner	$22.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lindsey Burney	MS	Family Nurse Practitioner	$2.3M	$0
Jason H Clark & Sandra J Clark	MS	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$105.3K	$36.7K

Yalobusha General Hospital — Billing Profile & Reimbursement Data

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Yalobusha General Hospital — 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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