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.

Hattiesburg Clinic PA (NPI 1740213446)

Field	Value
Entity Type	Organization
Organization	Hattiesburg Clinic PA
Address	415 S 28th Ave
City	Hattiesburg
State	MS
ZIP	39401
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$59.5M
Medicare	$0

Key Findings

HATTIESBURG CLINIC PA is effectively a Medicaid-centric provider: there is no Medicare billing on file while total Medicaid revenue is $59.5M. This makes the practice functionally single‑payer from the public program perspective and concentrates payer exposure and reimbursement risk in Medicaid.

Revenue is highly concentrated in a small set of office visit codes: the top three Medicaid codes (99214, 99213, 99232) account for 67.2% of the provider’s total Medicaid revenue. Specifically, 99214 represents $14.8M (32.4%), 99213 represents $14M (30.6%), and 99232 represents $1.9M (4.2%) of Medicaid revenue, indicating the business is driven primarily by evaluation-and-management encounters.

The code mix indicates a high-volume ambulatory/clinic operation oriented around established and new patient E/M visits: the two largest revenue drivers are 99214 and 99213 (combined $28.8M), and there are also substantial volumes for new patient codes such as 99203 and 99204 as well as preventive visit codes 99391/99392. This pattern is consistent with a multi-specialty clinic that manages routine primary and specialty outpatient care and preventive services at scale.

Beyond outpatient visits, the provider shows meaningful inpatient, obstetric, and procedure-related activity: 99232 and 99233 are prominent for subsequent inpatient care, 99222 is ranked #1 of 137 providers in-state (100th percentile; extreme outlier) for initial inpatient/observation admissions, and 01967 (neuraxial anesthesia for planned vaginal delivery) produces $1.7M and ranks #1 of 30 (100th percentile; extreme outlier). The presence of 90960 (ESRD monthly management) and 59426 (antepartum mini-global) further signals substantive dialysis and obstetric service lines alongside the clinic’s ambulatory footprint.

Competitive standing in Mississippi is dominant for several high-volume codes: 99213 ranks #1 of 1909 providers in-state (100th percentile; extreme outlier) and 99214 ranks #2 of 1668 (100th percentile; extreme outlier), while 01967 and 99222 are both state leaders at rank #1 (each described as 100th percentile; extreme outlier). Multiple other codes — including 92014 (rank #3 of 420, 100th percentile) and 88305 (rank #2 of 77, 99th percentile) — show the provider operating far above typical state volumes, indicating market dominance across several service lines.

HATTIESBURG CLINIC’s service breadth extends into specialty and ancillary care: high volumes and notable statewide ranks appear for pathology 88305 ($963.8K, rank #2 of 77, 99th percentile), ophthalmology exams 92014/92004, immunizations 90460, and respiratory/infectious disease testing (87502 and U0002). These codes point to integrated on-site or closely affiliated lab, imaging, ophthalmology, and immunization services supporting the clinic’s ambulatory and procedural mix.

For payers and contractor analysts, the concentration in a handful of E/M codes and the absence of Medicare suggest targeted opportunities and risks: managing utilization, network contracting, or value-based arrangements with HATTIESBURG CLINIC will largely hinge on 99213 and 99214 volumes that together drive the majority of Medicaid revenue. Because the provider is an extreme outlier statewide on those codes, any changes to reimbursement, care pathways, or prior authorization policies for office visits would disproportionately affect the clinic’s Medicaid revenue.

The provider has an established presence: the NPI was enumerated on 2006-07-08 (~20 years ago), which supports the interpretation that these utilization patterns reflect a long-tenured, scaled operation rather than a short-term fluctuation. That longevity, combined with the concentration and statewide ranking data, implies durable relationships with Medicaid and sustained operational capacity across multiple service lines.

Medicaid: Complete Services Breakdown

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

434 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	296,720	$50	$14.8M
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…	334,040	$40	$14M
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…	71,300	$30	$1.9M
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	5,210	$320	$1.7M
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	21,750	$50	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	1,960	$510	$1M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	20,080	$50	$963.8K
99203	The provider sees a new 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 provider…	17,130	$50	$839.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,070	$100	$807K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	10,180	$80	$793.8K

Showing 1–10 of 434

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

Hattiesburg Clinic PA — 16 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

434 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	224	230	3,260	$120	$1.4M
J2357	Injection, omalizumab, 5 mg	7	10	640	$1,020	$1.3M
J0585	Injection, onabotulinumtoxina, 1 unit	4	10	630	$580	$907K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	9	30	70	$1,790	$891.2K
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…	16	30	5,050	$120	$762K
J0897	Injection, denosumab, 1 mg	13	20	960	$500	$531.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	6	50	300	$510	$483.3K
37229	N/A	6	10	120	$1,350	$358.6K
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.	73	90	2,110	$80	$325.8K
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.	51	110	1,250	$110	$311.6K

Showing 1–10 of 434

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hattiesburg Clinic PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$10.9M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$7.9M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Hattiesburg Clinic PA	MS	Ambulatory Surgical Clinic/Center	$4.5M	$2.4M
Lowery A. Woodall Outpatient Surgery Facility, LLC	MS	Ambulatory Surgical Clinic/Center	$446.4K	$6.1M
Hattiesburg Clinic PA	MS	Clinical Medical Laboratory	$2.2M	$3.3M
Hattiesburg Clinic, PA	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.3M
Imad Bitar	MS	Rheumatology Physician	$3M	$0
Hattiesburg Clinic PA	MS	Obstetrics & Gynecology Physician	$0	$2.8M
Hattiesburg Clinic, PA	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M

Nearby Providers

Other providers in the same ZIP code as Hattiesburg Clinic PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region 12 Commission On Mental Health & Retardation Pine Belt Men	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$108.3M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$81.6M
Doves Home Care	MS	Home Health Agency	$0	$12M
Neighborhood Healthcare Providers	MS	Internal Medicine Physician	$0	$10.9M
Top Choice Healthcare	MS	In Home Supportive Care Agency	$0	$6M
Relias Emergency Medicine Specialists Of Hattiesburg LLC	MS	Emergency Medicine Physician	$0	$5M
Southern Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$4.7M	$103.6K
South Mississippi Emergency Physicians PA	MS	Emergency Medicine Physician	$0	$3.2M
Southern Mississippi Neonatology, PA	MS	Neonatal-Perinatal Medicine Physician	$0	$2.7M
Minor Care Clinic	MS	Federally Qualified Health Center (FQHC)	$0	$2.5M

Hattiesburg Clinic PA — Billing Profile & Reimbursement Data

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Hattiesburg Clinic PA — 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