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.

Health Care Authority For Baptist Health, An Affiliate Of Uabhs (NPI 1700977105)

Key Findings

Field	Value
Entity Type	Organization
Organization	Health Care Authority For Baptist Health, An Affiliate Of Uabhs
Address	2105 E South Blvd
City	Montgomery
State	AL
ZIP	36116
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 28, 2006

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

This provider has no Medicare billing on file and reported $16.7M in Medicaid revenue, making it effectively a Medicaid-focused hospital in the available claims data rather than a dual-payer operation. The absence of Medicare activity should be treated as a defining characteristic of its payer mix in Medicare/Medicaid analyses.

Revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid codes (99284, 99285, 99283) together account for 52.9% of this provider's total Medicaid revenue. Individually those codes are reported as $3M (99284, 19.8%), $2.9M (99285, 19.3%), and $2.1M (99283, 13.8%), which signals that ED encounters are the primary revenue drivers.

The overall code mix points to a high-throughput hospital ED with extensive on-site lab and imaging capacity: frequent use of 9928x E/M codes is complemented by large volumes of lab panels and point-of-care testing such as 80053, 85025, 81003, and respiratory testing codes (87636, 87651). This blend of ED, diagnostic, and procedural codes suggests the facility operates as a general acute care hospital with tight integration between emergency services and laboratory/imaging operations.

State-level rank and percentile for the ED codes indicate above-average to high volumes relative to peers: 99283 ranks in the 96th percentile and is described as “notably above typical state volume,” while 99284 is in the 95th percentile and 99285 is in the 88th percentile (both characterized as typical or unremarkable for their rank). In plain terms, the hospital runs a busier-than-typical ED for lower-and-moderate acuity visits and solid but less dominant volumes for the highest-acuity ED code.

Several lab and medication administration codes are statistical outliers in the state, pointing to exceptional throughput in specific services: 96375 (IV push infusion sequence) is listed as an extreme outlier at rank #1, and lab tests including 84703 (hCG) and 84484 (troponin) are also rank #1, 100th percentile, described as extreme outliers. This pattern implies unusually high volumes for point-of-care and ED-related testing and frequent IV medication administration relative to in-state peers.

Oncology infusion activity appears significant for the market: 96413 (chemotherapy infusion) generated $584.9K and ranks #2 of 28 providers in-state (96th percentile; described as an extreme outlier). That placement indicates the provider is a major outpatient chemotherapy site compared with most in-state peers, supporting a specialty infusion service line beyond routine ED care.

Imaging and advanced diagnostics are a meaningful secondary revenue stream: high claim counts for chest x-ray 71046 (19.1K claims) and CT head 70450 ($195.9K) place the provider well above many peers (71046 in the 96th percentile), and PET/CT 78815 appears in the mix ($167.5K) albeit against a small number of statewide providers. These data indicate in-house radiology capability that supports both emergent and oncologic workflows.

The provider has an established operational tenure (NPI enumerated 2006-09-28, ~20 years ago), which together with the concentrated ED-driven Medicaid revenue and multiple 100th-percentile lab/procedure outliers suggests a stable, long-running general acute care hospital that serves a large Medicaid population and operates high-volume ED, lab, and infusion services.

Medicaid: Complete Services Breakdown

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

154 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.	41,220	$70	$3M
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.	9,850	$290	$2.9M
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.	49,220	$40	$2.1M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	7,880	$100	$819.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	63,070	$10	$693.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	76,230	$10	$686K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	19,900	$30	$676.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	9,000	$70	$584.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	21,830	$20	$502K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	3,230	$110	$367.9K

Showing 1–10 of 154

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

Health Care Authority For Baptist Health, An Affiliate Of Uabhs — 12 of 25 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

154 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	13	70	380	$60	$893.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	40	1,020	$40	$865.2K
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.	14	240	4,820	$60	$807.6K
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.	24	190	1,480	$100	$730.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	39	40	450	$20	$591.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	38	40	460	$20	$584.1K
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.	10	230	5,160	$40	$474.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	12	40	1,540	$10	$397.4K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	8	40	430	$10	$391.5K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	15	20	1,500	$20	$389.4K

Showing 1–10 of 154

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore Hematology Oncology Associates PC	NY	Specialist	$0	$61.9M
Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$12M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Internal Medicine Physician	$0	$7.5M
The Health Care Authority For Baptist Health An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$5.2M
The Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Hematology & Oncology Physician	$0	$1M
Scott Sims	AL	Cardiovascular Disease Physician	$472.4K	$0
James Davies	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$397.7K	$0
Paul Moore	AL	Interventional Cardiology Physician	$387K	$0
Wynne Crawford	AL	Clinical Cardiac Electrophysiology Physician	$384.2K	$0
Amy Cooper	AL	Cardiovascular Disease Physician	$271K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alabama Dept. Of Rehabilitation Services	AL	Case Management Agency	$0	$58.2M
Rehab Early Intervention	AL	Speech-Language Pathologist	$0	$39.3M
Partners In Pediatrics, LLC	AL	Primary Care Clinic/Center	$0	$14M
The Center For Pain Of Montgomery LLC	AL	Interventional Pain Medicine Physician	$0	$5.9M
Behavioral Medicine LLC	AL	Mental Health Counselor	$0	$5.9M
Alabama Smiles	AL	General Practice Dentistry	$0	$5.5M
Alabama Department Of Rehabilitation Services	AL	Multi-Specialty Clinic/Center	$0	$3.9M
Easter Seals Central Alabama	AL	Speech-Language Pathologist	$0	$2.2M
Excel Rehabilitation, LLC.	AL	Pediatric Occupational Therapist	$0	$1.9M
Farragut Dialysis, LLC	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M

Health Care Authority For Baptist Health, An Affiliate Of Uabhs — 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