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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Talladega County Health Dept-sylacauga Fp Clinic (NPI 1659414092)

Field	Value
Entity Type	Organization
Organization	Talladega County Health Dept-sylacauga Fp Clinic
Address	311 N Elm Ave
City	Sylacauga
State	AL
ZIP	35150
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$951.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	3,130	$230	$713.2K
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…	920	$230	$212.5K
S4993	Contraceptive pills for birth control	610	$20	$11.6K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	700	$20	$11.2K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	1,400	$1	$2.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Talladega County Health Dept-sylacauga Fp Clinic — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	880	1,990	680	$60	$201.7K
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…	485	1,990	560	$40	$185.6K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	67	120	770	$10	$27.4K
S4993	Contraceptive pills for birth control	46	70	1,020	$20	$22.7K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	115	320	720	$1	$4.6K

Nearby Providers

Other providers in the same ZIP code as Talladega County Health Dept-sylacauga Fp Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathway Pediatrics, Inc.	AL	Pediatrics Physician	$0	$8.6M
Sylacauga Pediatric Clinic, LLC	AL	Rural Health Clinic/Center	$0	$7.4M
Sylacauga Pediatric Clinic, LLC	AL	Pediatrics Physician	$0	$4.4M
Sylacauga Health Care Authority Inc	AL	Rural Acute Care Hospital	$0	$4.2M
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$2.3M
Marble City Pediatric Dentistry	AL	Preferred Provider Organization	$0	$2.2M
Sylacauga Ambulance Service, Inc.	AL	Land Ambulance	$433.6K	$958.7K
Talladega County Health Dept-sylacauga Epsdt Cm	AL	Case Management Agency	$0	$1.2M
Family Eye Care Of Sylacauga LLC	AL	Optometrist	$0	$1.2M
Hamo Neurology Clinic	AL	Neurology Physician	$0	$943.7K

Talladega County Health Dept-sylacauga Fp Clinic — Billing Profile & Reimbursement Data

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Talladega County Health Dept-sylacauga Fp Clinic — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References