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.

Mississippi Baptist Medical Center, Inc. (NPI 1710909585)

Field	Value
Entity Type	Organization
Organization	Mississippi Baptist Medical Center, Inc.
Address	1225 N State St
City	Jackson
State	MS
ZIP	39202
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 24, 2006

Payer Source	Total Paid
Medicaid	$42M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file while reported Medicaid revenue totals $42M, so Medicaid activity accounts for the entirety of the observed public-payer footprint. That concentration means analyses of utilization and payer risk should focus on Medicaid patterns rather than a mixed Medicare/Medicaid comparison.

Revenue is highly concentrated in emergency and short-stay observation services: the precomputed top 3 Medicaid codes account for 39.0% of this provider's total Medicaid revenue, driven by 99283 ($4.3M revenue, 15.1%), 99284 ($3.9M revenue, 13.8%), and G0378 ($2.9M revenue, 10.1%). Those three codes together point to ED visits across low-to-moderate decision-making levels plus hospital observation hours as the primary revenue drivers.

The raw claim volumes reinforce an ED-centric operation: 99283 shows 35.1K claims ($4.3M revenue) and 99284 shows 25.9K claims ($3.9M revenue), while 99281 (18.7K claims, $804.5K revenue) is identified as an extreme outlier in-state. Complementary codes 99282 (15.6K claims, $1.2M revenue) ranks in the 98th percentile and is described as notably above typical state volume, indicating very high throughput that skews toward lower-acuity ED visits.

Observation/throughput capacity is substantial: G0378 (hospital observation service, per hour) appears as a top revenue contributor with 8.7K claims and $2.9M revenue (10.1% of Medicaid revenue). Its presence as a top-3 revenue code supports a care model that moves patients into observation status frequently from the ED, which has implications for bed management and short-stay utilization.

The provider maintains a broad infusion and chemotherapy footprint alongside ED care: 96374 (17K claims, $1.3M revenue), 96365 (8.5K claims, $589.5K revenue), 96361 (8.6K claims, $573.9K revenue), and chemotherapy codes like 96413 (8.8K claims, $875.3K revenue) appear on the top list. J9271 (pembrolizumab) generates $1M revenue from 492 claims and ranks in the middle of in-state providers (54th percentile), indicating some oncology/immunotherapy activity but not dominant statewide.

Advanced imaging and cardiac diagnostics are meaningful service lines: 74177 CT abdomen/pelvis (9.4K claims, $1.1M revenue) and 78815 PET/CT (2.4K claims, $827.5K revenue) both rank in high state percentiles, and 78431 (PET myocardial) is notable as the state leader for that code (rank #1 of 5; $525.3K revenue). These patterns suggest investment in high-value imaging and cardiac diagnostics that complement acute ED volumes.

Competitive standing and tenure: across many high-volume codes the provider ranks in elevated state percentiles — examples include 93306 (94th percentile), 93005 (96th percentile), 74177 (94th percentile), and 96372 (98th percentile, an extreme outlier) — supporting characterization as a major, high-volume Medicaid provider in Mississippi for ED, diagnostic testing, and infusion services. The NPI enumeration date of 2006-07-24 (~20 years ago) confirms this is an established institution with a sustained presence in the state market.

Medicaid: Complete Services Breakdown

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

458 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	35,070	$120	$4.3M
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.	25,930	$150	$3.9M
G0378	Hospital observation service, per hour	8,720	$330	$2.9M
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.	13,440	$170	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	16,990	$80	$1.3M
99282	The 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.	15,630	$80	$1.2M
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.	9,350	$110	$1.1M
J9271	Injection, pembrolizumab, 1 mg	490	$2,060	$1M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7,440	$120	$915.2K
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…	8,840	$100	$875.3K

Showing 1–10 of 458

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

Mississippi Baptist Medical Center, Inc. — 7 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

458 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	7	10	390	$3,870	$2M
G0378	Hospital observation service, per hour	10	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.	29	230	3,260	$120	$1.4M
J2357	Injection, omalizumab, 5 mg	5	10	640	$1,020	$1.3M
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.	18	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.	28	180	3,000	$140	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	11	10	630	$580	$907K
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…	7	30	5,050	$120	$762K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12	90	4,540	$90	$665.4K
87633	The 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…	15	30	240	$260	$353.3K

Showing 1–10 of 458

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Gaines	AL	Hospitalist Physician	$100.9K	$0

Nearby Providers

Other providers in the same ZIP code as Mississippi Baptist Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi Behavioral Health Services, LLC	MS	Community/Behavioral Health Agency	$0	$72.8M
Mississippi Children's Home Society - Mypac	MS	Mental Illness Community Based Residential Treatment Facility	$0	$26.5M
Medical Foundation Of Central Mississippi, Inc.	MS	Internal Medicine Physician	$0	$7.5M
James Brown	MS	Retina Specialist (Ophthalmology) Physician	$5.4M	$8.9K
Tammy Young	MS	Medical Oncology Physician	$5.1M	$0
Michael Borne	MS	Retina Specialist (Ophthalmology) Physician	$4.5M	$1.8K
Mississippi Physicians, LLP	MS	Emergency Medicine Physician	$0	$4.2M
Justin Baker	MS	Hematology & Oncology Physician	$4.1M	$0
Mae Physicians Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$3.4M	$114.8K
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0

Mississippi Baptist Medical Center, Inc. — Billing Profile & Reimbursement Data

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Mississippi Baptist Medical Center, Inc. — 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