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    OpenPayerNPI Medicare & MedicaidState Of Mississippi - University Of Mississippi M…
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    State Of Mississippi - University Of Mississippi Medical Center — Billing Profile & Reimbursement Data

    NPI 1699714717 · Greenwood, MS · General Acute Care Hospital

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    State Of Mississippi - University Of Mississippi Medical Center is a general acute care hospital provider located in Greenwood, Mississippi. This profile covers 0 Medicare and 316 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationState Of Mississippi - University Of Mississippi Medical Center
    Address1401 River Rd
    CityGreenwood
    StateMS
    ZIP38930
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$31.9M
    Medicare$0

    Key Findings

    This provider reports no Medicare billing on file and $31.9M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer Medicaid in scale and exposure. The absence of Medicare receipts paired with material Medicaid revenue suggests payer concentration risk and that payer-specific network or reimbursement changes in Medicaid would disproportionately affect the provider's revenue base.

    Revenue is highly concentrated: the precomputed top three Medicaid codes account for 50.7% of the provider's total Medicaid revenue. Those top drivers are 99283 ($6.9M; 29.7% of Medicaid revenue), G0378 ($2.5M; 10.8%), and 99284 ($2.4M; 10.2%), indicating the bulk of dollars are tied to emergency department evaluation/management and hospital observation hours.

    The code mix points to an emergency-department and observation–centered operating model. High-volume ED E/M codes (99283, 99284, 99282, 99285) together with G0378 (hospital observation service, per hour) show the facility generates substantial revenue from acute unscheduled care and short-term observation, while infusion/administration codes (96374, 96372, 96365) and typical hospital diagnostics (71046, 74177, 93306, 70450) reflect an integrated hospital-based service line.

    Competitive standing within Mississippi is strong for specific codes: 99283 ranks #5 of 223 providers in-state (98th percentile; notably above typical state volume for this code), marking the provider as a major in-state source of lower-level ED visits. Separately, 96372 ranks #24 of 751 providers (97th percentile; extreme outlier, far above typical state volume for this code), indicating unusually high volumes of therapeutic/prophylactic/diagnostic injections relative to peers.

    Observation services and moderate-complexity ED visits are meaningful but not uniquely dominant: G0378 ranks #9 of 72 (89th percentile; typical, unremarkable volume for this code) and 99284 ranks #48 of 227 (79th percentile; typical, unremarkable volume for this code). Together these positions imply the hospital performs a standard state-level share of observation-hour revenue and mid-level ED care rather than capturing a monopolistic share for those services.

    The broader procedure mix includes high volumes of basic diagnostics and therapy that support an acute-care hospital profile: chest x-ray and CT activity (71046 $547.7K revenue; 74177 $469.6K revenue; 70450 $278.6K revenue), therapeutic exercise and physical therapy (97110 $833.3K revenue; 97530 $311.4K revenue), and lab testing (85025 $322.3K revenue)—consistent with comprehensive inpatient and outpatient ancillary services typical of a general acute care hospital.

    The provider's NPI was enumerated on 2006-06-05 (~20 years ago), indicating long tenure in the market. This extended presence, combined with concentrated Medicaid revenue and dominant in-state volumes for certain ED and infusion codes, positions the facility as an established Medicaid-focused acute-care provider whose financial performance will be sensitive to changes in Medicaid policy or reimbursement for ED/observation and high-volume injection/administration services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    316 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.57,040$120$6.9M
    G0378Hospital observation service, per hour8,850$280$2.5M
    99284The 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.17,270$140$2.4M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.13,110$80$1.1M
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…800$1,050$842.9K
    97110Therapeutic 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…23,150$40$833.3K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.9,500$80$759.6K
    94640The 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…7,770$100$753.5K
    92507The 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…12,890$60$721.8K
    96372A 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…19,820$30$673.9K

    Showing 1–10 of 316

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    316 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0378Hospital observation service, per hour9701,480$370$1.4M
    99284The 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.482303,260$120$1.4M
    99283The 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.52205,690$100$1.2M
    99285The 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.741803,000$140$1.1M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.19904,540$90$665.4K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.4550300$510$483.3K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…2730240$260$353.3K
    96365The 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.30902,110$80$325.8K
    74177The 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.381101,250$110$311.6K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…2230190$360$295K

    Showing 1–10 of 316

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with State Of Mississippi - University Of Mississippi Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greenwood Leflore HospitalMSEmergency Medicine Physician$0$2.7M
    Charles NauseMSFamily Medicine Physician$244.7K$0
    Brooke ScallionMSFamily Nurse Practitioner$78.2K$0

    Nearby Providers

    Other providers in the same ZIP code as State Of Mississippi - University Of Mississippi Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region Vi Community Mental Health CommissionMSMental Health Clinic/Center (Including Community Mental Health Center)$0$100.2M
    Total Health Care Services, Inc.MSHomemaker$0$72.5M
    Complete Health Care ServicesMSHomemaker$0$8.5M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.5M
    Life Help IndustriesMSMental Health Clinic/Center (Including Community Mental Health Center)$0$5.3M
    Greenwood Leflore HospitalMSRural Health Clinic/Center$0$4.7M
    Region 6 Community Mental Health CommissionMSCommunity/Behavioral Health Agency$0$4M
    Coleman Cataract And Eye Laser Surgery Center, IncMSOphthalmologic Surgery Clinic/Center$1.6M$1.5M
    Happicare One LLC Ppec Pediatric DaycareMSPediatric Skilled Nursing Facility$0$2.7M
    Med-trans CorporationMSAir Ambulance$968.5K$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    State Of Mississippi - University Of Mississippi Medical Center — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi