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.

Childrens Clinic Of Pascagoula PLLC (NPI 1750316907)

Childrens Clinic Of Pascagoula PLLC is a pediatrics physician provider located in Pascagoula, Mississippi. This profile covers 0 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Childrens Clinic Of Pascagoula PLLC
Address	4105 Hospital St
City	Pascagoula
State	MS
ZIP	39581
Taxonomy	Pediatrics Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	86,830	$60	$4.9M
99392	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…	7,390	$90	$672.1K
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…	7,050	$90	$620.8K
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…	6,760	$90	$574.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,210	$90	$463.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	14,980	$20	$359.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,720	$100	$357K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	11,350	$20	$272.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	8,830	$30	$265K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16,580	$10	$215.6K

Showing 1–10 of 74

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

Childrens Clinic Of Pascagoula PLLC — 8 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	7	1,910	930	$60	$278.7K
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…	27	170	1,210	$90	$275K
99392	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…	20	220	470	$90	$212.2K
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…	203	1,670	720	$50	$196.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	172	670	230	$60	$89.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9	230	190	$80	$74.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	53	190	120	$20	$56.6K
96372	A 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…	552	750	400	$20	$52.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	23	440	380	$30	$49.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	8	230	140	$90	$45.5K

Showing 1–10 of 74

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Singing River Health System	MS	General Acute Care Hospital	$0	$81.1M
South Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$11.5M
Emergency Room Group Ltd	MS	Emergency Medicine Physician	$0	$9.8M
Singing River Health System	MS	Internal Medicine Physician	$0	$4.8M
Edward Brown	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.3M
Daniel Enger	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.1M
Pediatric Care Center, P.L.L.C.	MS	Pediatrics Physician	$0	$3.9M
Mark Stavros	MS	Emergency Medicine Physician	$15.9K	$1.9M
Gulf Coast Ob/gyn, PA	MS	Obstetrics & Gynecology Physician	$0	$1.6M
Premier Eye Clinic , PLLC	MS	Optometrist	$0	$1.2M

Childrens Clinic Of Pascagoula PLLC — Billing Profile & Reimbursement Data

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Childrens Clinic Of Pascagoula PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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