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.

North Mississippi Medical Center Inc. (NPI 1649727447)

North Mississippi Medical Center Inc. is a rural health clinic/center provider located in Tupelo, Mississippi. This profile covers 0 Medicare and 65 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	North Mississippi Medical Center Inc.
Address	199 Grandstand Place
City	Tupelo
State	MS
ZIP	38804
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 9, 2016

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

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

65 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…	31,150	$90	$2.7M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	18,280	$90	$1.6M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14,070	$90	$1.3M
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…	6,320	$100	$600.4K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	3,570	$80	$268K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	5,750	$40	$224.1K
96161	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient's caregiver, analyzes the results, assigns a score, and documents the findings. Use this code…	7,170	$30	$222.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,710	$60	$215.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	14,100	$10	$155.1K
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,…	1,430	$80	$119K

Showing 1–10 of 65

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

North Mississippi Medical Center Inc. — 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

65 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…	59	1,910	930	$60	$278.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4	170	1,210	$90	$275K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4	220	470	$90	$212.2K
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…	222	1,670	720	$50	$196.4K
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…	71	140	400	$80	$191K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	15	160	710	$30	$119.4K
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,…	139	670	230	$60	$89.5K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	7	20	320	$60	$78.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	67	230	190	$80	$74.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	4	60	450	$70	$73.7K

Showing 1–10 of 65

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
Pontotoc Health Services, Inc.	MS	Critical Access Hospital	$0	$11.6M
North Mississippi Medical Center Inc.	MS	Internal Medicine Physician	$0	$2.9M
North Mississippi Medical Center, Inc.	MS	Home Health Agency	$0	$1.6M
North Mississippi Medical Center Inc.	MS	Rural Health Clinic/Center	$0	$1.5M
North Mississippi Medical Center, Inc.	MS	Maternal & Fetal Medicine Physician	$0	$1.2M
Doyle Renfroe	MS	Urology Physician	$1.1M	$2.5K
Brent Hardin	MS	Urology Physician	$974.2K	$4.2K
Adam Stewart	TN	Urology Physician	$779.2K	$430

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Mental Health/mental Retardation Commission	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$65.7M
North Mississippi Ground Ambulance, LLC	MS	Land Ambulance	$4.7M	$12.9M
A&a Home Health Equipment, Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$10.5M
Tri-vista Rehab, Inc	MS	Physical Therapist	$0	$2.8M
Kenneth Johnson	MS	Pediatric Dentistry	$0	$2.8M
Tupelo Surgery Center, L.L.C.	MS	Ophthalmologic Surgery Clinic/Center	$1.5M	$345.6K
Sonya Miles	MS	Ophthalmology Physician	$539.5K	$0
Ruben Jones	MS	Family Medicine Physician	$369.9K	$0
Edmund Miller	MS	Family Medicine Physician	$309.3K	$0
Dax Eckard	MS	Optometrist	$241.4K	$24.7K

North Mississippi Medical Center Inc. — 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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