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.

South Central Clinics, Inc (NPI 1659898138)

Field	Value
Entity Type	Organization
Organization	South Central Clinics, Inc
Address	1220 Jefferson St
City	Laurel
State	MS
ZIP	39440
Taxonomy	Hospitalist Physician
NPI Enumerated	August 25, 2017

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.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	17,050	$30	$477.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,790	$70	$422.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	16,600	$20	$315.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,840	$30	$76.6K
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…	1,320	$20	$26.3K
99220	N/A	320	$30	$8.3K
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…	40	$20	$670
99217	N/A	240	$1	$480
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$40	$430
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…	30	$10	$300

Showing 1–10 of 12

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

South Central Clinics, Inc — 1 of 11 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

12 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…	1,710	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…	1,457	1,670	720	$50	$196.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	130	320	$30	$139.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19	280	680	$20	$102K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5	150	170	$60	$56.7K
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…	34	160	300	$40	$41.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	9	90	190	$30	$30.9K
99220	N/A	10	30	140	$60	$25.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	134	140	130	$40	$21.2K
99217	N/A	12	40	120	$30	$7.6K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Central Clinics, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Central Regional Medical Center	MS	General Acute Care Hospital	$0	$48.1M
South Central Clinics, Inc	MS	Emergency Medicine Physician	$0	$4.5M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$4.4M
South Central Clinics, Inc.	MS	Rural Health Clinic/Center	$0	$3.8M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$3.3M
South Central Clinics, Inc.	MS	Obstetrics & Gynecology Physician	$0	$1.3M
David Roy	MS	MOHS-Micrographic Surgery Physician	$1.2M	$0
Wassim Mouannes	MS	Cardiovascular Disease Physician	$348K	$0
Gulshan Oberoi	MS	Neurology Physician	$344.5K	$0
Herbert Rogers	MS	Internal Medicine Physician	$242.6K	$0

Nearby Providers

Other providers in the same ZIP code as South Central Clinics, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chateau Adult Day Center, LLC	MS	In Home Supportive Care Agency	$0	$14.8M
Jones Family Medicine Clinic PLLC	MS	Primary Care Clinic/Center	$0	$9.4M
Asap Ems Corporation	MS	Land Ambulance	$850.3K	$5.4M
Magnolia Gardens Assisted Living	MS	Assisted Living Facility (Behavioral Disturbances)	$0	$5.4M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Tender Loving Care Homecare LLC	MS	In Home Supportive Care Agency	$0	$4.1M
Laurel Surgery & Endoscopy Center, LLC	MS	Ambulatory Surgical Clinic/Center	$520.6K	$3.4M
South Central Regional Medical Center	MS	Ambulance	$0	$3.1M
Mary Darby-mclaurin	MS	Hospice Registered Nurse	$0	$2.9M
Pathway Healthcare- Mississippi LLC	MS	Addiction Medicine (Family Medicine) Physician	$0	$2.6M

South Central Clinics, Inc — Billing Profile & Reimbursement Data

Sign up for South Central Clinics, Inc — Billing Profile & Reimbursement Data policy alerts

South Central Clinics, Inc — Billing Profile & Reimbursement Data

Sign up for South Central Clinics, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References