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.

Magnolia Regional Health Center (NPI 1699756445)

Field	Value
Entity Type	Organization
Organization	Magnolia Regional Health Center
Address	611 Alcorn Dr
City	Corinth
State	MS
ZIP	38834
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 9, 2005

Payer Source	Total Paid
Medicaid	$29.3M
Medicare	$0

Key Findings

MAGNOLIA REGIONAL HEALTH CENTER reports no Medicare billing on file and $29.3M in lifetime Medicaid revenue, making Medicaid effectively the institution’s primary payer exposure in the available data. This single-payer profile means analysis of utilization and financial risk should focus on Medicaid trends rather than Medicare comparators. The hospital’s NPI was enumerated 2005-11-09 (~21 years ago), indicating an established operating history in the market.

Revenue concentration is high at the code level: the precomputed top three Medicaid codes (99284, 99283, G0378) account for 37.6% of the provider’s total Medicaid revenue. Those three codes individually are 99284: 21.6K claims, $157 avg paid/claim, $3.4M revenue (15.0%); 99283: 20.6K claims, $131 avg paid/claim, $2.7M revenue (12.0%); and G0378: 6.1K claims, $392 avg paid/claim, $2.4M revenue (10.6%). This concentration points to a relatively small set of services driving a large share of Medicaid receipts.

The code mix indicates the hospital operates a high-volume emergency and short-stay observation operation: emergency department E/M codes 99284 (21.6K claims, $3.4M) and 99283 (20.6K claims, $2.7M), plus observation G0378 (6.1K claims, $2.4M), are the top revenue generators. 99284 ranks #36 of 227 in-state (85th percentile; typical, unremarkable volume) and 99283 ranks #43 of 223 (81th percentile; typical, unremarkable volume), suggesting the ED/observation footprint is sizeable but not unusually above peer norms statewide. The presence of substantial observation billing (G0378) reinforces that inpatient conversion from ED visits is an important operational pathway.

Infusion and procedural administration codes are another meaningful revenue stream and operational focus: 96374 (13.7K claims, $1.3M), 96365 (9.4K claims, $828.8K), 96361 (7K claims, $584K), 96360 (4.5K claims, $480.9K) and 96372 (14.1K claims, $536.3K) together represent ongoing IV/medication administration and hydration services. Notably, 96372 ranks #31 of 751 providers in-state (96th percentile; notably above typical state volume), and 96360 ranks #6 of 77 (93th percentile; typical, unremarkable volume), which signals above-average utilization of injection/infusion services relative to peers and supports the ED/acute treatment profile.

Imaging and advanced diagnostics provide meaningful ancillary revenue: CT abdomen/pelvis with contrast 74177 generated $907.2K (6.8K claims) and ranks #14 of 112 (88th percentile), transthoracic echo 93306 produced $614K (3.4K claims), and imaging supervision 93458 generated $458.2K (503 claims) and ranks #5 of 26 (84th percentile). Additional high-volume diagnostic codes include chest x‑ray 71046 (12.4K claims, $497.5K, 91th percentile) and CT head 70450 (6.2K claims, $310K). These findings indicate robust onsite imaging capability that supports both ED throughput and inpatient care.

Obstetrics and selected specialty services appear above typical state volumes in specific areas: fetal heart-rate testing 59025 (4.2K claims, $412.9K) ranks #6 of 79 providers in-state (94th percentile; notably above typical state volume), which suggests a meaningful obstetric/maternal health caseload. Speech and rehabilitation codes are also material—92507 (16.3K claims, $863.3K) and 97110 (17.2K claims, $824.2K)—indicating ongoing therapy services embedded in the facility’s care mix. Together these codes point to a general acute-care hospital that also supports birth, rehab, and post-acute needs for its Medicaid population.

Competitive standing across Medicaid is consistent but not dominant: many of the hospital’s top codes fall in the 78th–93rd percentile range (for example, 99284 at the 85th percentile, 99283 at the 81th percentile, G0378 at the 80th percentile), and most are labeled in the source as "typical, unremarkable volume." A few codes are clear outliers above state norms—96372 (96th percentile; notably above typical state volume) and 59025 (94th percentile; notably above typical state volume)—which highlight specific strengths but do not, by themselves, reflect statewide dominance. Overall, the provider is a solid regional Medicaid participant with pockets of higher-than-typical specialization rather than a statewide market leader across all lines.

For payer-strategy and risk modeling, the absence of Medicare billing on file combined with concentrated Medicaid revenue (top three codes = 37.6% of Medicaid revenue) suggests both revenue vulnerability to Medicaid policy changes and operational leverage tied to ED/observation workflows. Risk-adjusted forecasting should prioritize trends in ED utilization, observation-hour reimbursement (G0378), infusion/administration services, and high-volume diagnostic pathways since changes to these areas would disproportionately affect the provider’s Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

332 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The 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.	21,560	$160	$3.4M
99283	The 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.	20,610	$130	$2.7M
G0378	Hospital observation service, per hour	6,100	$390	$2.4M
99285	The 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.	11,130	$180	$1.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,670	$90	$1.3M
74177	The 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.	6,770	$130	$907.2K
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.	12,280	$70	$871.7K
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…	16,290	$50	$863.3K
96365	The 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.	9,420	$90	$828.8K
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…	17,170	$50	$824.2K

Showing 1–10 of 332

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

Magnolia Regional Health Center — 1 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

332 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)	35	50	4,400	$160	$1.9M
G0378	Hospital observation service, per hour	15	70	1,480	$370	$1.4M
99284	The 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.	36	230	3,260	$120	$1.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	25	40	2,590	$160	$1.4M
99283	The 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.	43	220	5,690	$100	$1.2M
99285	The 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.	33	180	3,000	$140	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	22	30	70	$1,790	$891.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17	90	4,540	$90	$665.4K
A0425	Ground mileage, per statute mile	27	50	5,330	$30	$618.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	28	50	300	$510	$483.3K

Showing 1–10 of 332

Related Providers

Other providers that share a Tax Identification Number (TIN) with Magnolia Regional Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Magnolia Ambulance Services	MS	Ambulance	$1.1M	$1.4M
Mandar Jagtap	MS	Cardiovascular Disease Physician	$862.5K	$0
Joseph Pratt	MS	Family Medicine Physician	$729.5K	$0
Mark Blackwood	MS	Obstetrics & Gynecology Physician	$10.5K	$711.7K
Brodie Mcalpin	MS	Pulmonary Disease Physician	$632.4K	$0
Kerry Morgan	MS	Cardiovascular Disease Physician	$496.9K	$0
Tejinder Saini	TN	Psychiatry Physician	$402K	$65.7K
Kumar Yogesh	TN	Pulmonary Disease Physician	$91.6K	$325.8K
Nanni Pidikiti	MS	Cardiovascular Disease Physician	$403.5K	$12.9K

Nearby Providers

Other providers in the same ZIP code as Magnolia Regional Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magnolia Regional Health Center	MS	Pediatrics Physician	$0	$7.5M
Magnolia Physician Services, Inc	MS	Internal Medicine Physician	$0	$4.1M
Anchor Rehabilitation LLC	MS	Physical Therapist	$0	$4.1M
Physicians Urgent Care Of Corinth, LLC	MS	General Practice Physician	$0	$3.5M
Robert Perry	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.4M
Bruce Boyd	MS	Primary Podiatric Medicine Podiatrist	$1.8M	$893.1K
Dental Arts Of Corinth	MS	General Practice Dentistry	$0	$2.2M
Specialty Surgery & Laser Center	MS	Ambulatory Surgical Clinic/Center	$1.9M	$261.4K
Magnolia Regional Health Center	MS	Internal Medicine Physician	$0	$2M
Renal Care Group Tupelo, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M

Magnolia Regional Health Center — Billing Profile & Reimbursement Data

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Magnolia Regional Health Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References