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.

Rush Medical Foundation (NPI 1770543399)

Field	Value
Entity Type	Organization
Organization	Rush Medical Foundation
Address	1314 19th Ave
City	Meridian
State	MS
ZIP	39301
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 27, 2006

Payer Source	Total Paid
Medicaid	$29.4M
Medicare	$0

Key Findings

RUSH MEDICAL FOUNDATION has no Medicare billing on file and reports $29.4M in lifetime Medicaid revenue, making available claims records effectively single‑payer (Medicaid) for analytic purposes. This concentration of billed revenue to a single public payer materially shapes reimbursement risk and network-negotiation leverage, since there is no offset from Medicare in the dataset provided.

Revenue is heavily concentrated in emergency department evaluation-and-management codes: the top three Medicaid codes (99284, 99283, 99285) together account for 43.2% of the provider's total Medicaid revenue, with $4M, $2.7M, and $2.1M reported for those codes respectively. That concentration indicates the emergency department is the primary revenue engine and a strategic service line for the hospital.

The code mix—dominated by 99284 (moderate ED MDM), 99283 (low ED MDM), and 99285 (high ED MDM)—points to a high-volume ED handling a wide acuity range. Paired with billing for observation (G0378) and hospital outpatient clinic visits (G0463), the pattern aligns with a general acute care hospital that routes substantial ambulatory and short-stay care through its ED.

State-level ranks show above-median ED volumes but not absolute statewide dominance: 99284 ranks #34 of 227 (85th percentile), 99283 ranks #47 of 223 (79th percentile), and 99285 ranks #31 of 175 (83rd percentile). These positions characterize the provider as a strong regional ED presence—higher-than-typical volume relative to peers—rather than the single leading ED system in the state.

The provider shows extreme/state-leading volumes for a few non-ED services: 99215 (high-complexity outpatient E/M) ranks #2 of 271 (100th percentile, described as notably above typical), and 76805 (pregnancy ultrasound) ranks #2 of 127 (99th percentile, labeled an extreme outlier). These standings indicate RUSH is a major destination for select high-complexity outpatient visits and obstetric imaging in-state.

Ancillary and ambulatory service lines are also robust: therapeutic exercise 97110 (30.6K claims, $919.4K revenue; 95th percentile), injections 96372 (17.8K claims, $569.4K revenue; 96th percentile), and hospital outpatient clinic visits G0463 (26.7K claims, $534.7K revenue; 92nd percentile) all sit at high relative volumes. This breadth suggests the hospital supports substantial outpatient rehabilitation, infusion/injection activity, and clinic throughput in addition to ED care.

Service mix includes both high-frequency, low-unit-value visits and lower-frequency, high-unit-value procedures—examples include 99213 (27.2K claims, $1M revenue) alongside 69436 tympanostomy (514 claims, $627.1K revenue) and 42820 tonsil/adenoid procedures (107 claims, $354K revenue). The co‑occurrence of routine ambulatory E/Ms with surgical and procedural revenue streams is consistent with an acute-care hospital that manages both clinic-based and operative caseloads.

The provider's NPI was enumerated on ~2006-03-27 (~20 years ago), marking it as an established local facility. Combined with the $29.4M Medicaid revenue base and concentrated ED/outpatient volumes, this tenure suggests the organization is an entrenched regional provider whose Medicaid billing footprint and service mix should be evaluated as long-standing when considering network inclusion or rate negotiations.

Medicaid: Complete Services Breakdown

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

363 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.	23,020	$170	$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.	19,930	$130	$2.7M
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.	11,540	$180	$2.1M
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…	27,180	$40	$1M
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…	30,650	$30	$919.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,460	$80	$747K
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.	8,240	$90	$700.2K
G0378	Hospital observation service, per hour	4,460	$160	$691K
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…	14,700	$50	$661.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	510	$1,220	$627.1K

Showing 1–10 of 363

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

Rush Medical Foundation — 6 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

363 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	20	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.	34	230	3,260	$120	$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.	47	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.	31	180	3,000	$140	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	14	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.	25	90	4,540	$90	$665.4K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	17	50	300	$510	$483.3K
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.	17	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.	45	110	1,250	$110	$311.6K
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…	45	220	1,590	$50	$291.3K

Showing 1–10 of 363

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rush Medical Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Foundation, Inc.	MS	Clinical Medical Laboratory	$1M	$4.2M
Rush Medical Foundation	MS	Critical Access Hospital	$0	$4.7M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Ochsner Mississippi, LLC	MS	Internal Medicine Physician	$0	$3.2M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Rush Medical Foundation	MS	Rural Health Clinic/Center	$0	$1.6M
Medical Foundation, Inc.	MS	Gynecology Physician	$0	$1.4M
Medical Foundation, Inc.	MS	Emergency Medicine Physician	$0	$1.3M
Robert Wilkins	MS	Interventional Cardiology Physician	$1.2M	$0
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Rush Medical Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson Regional Medical Center	MS	General Acute Care Hospital	$0	$32.5M
Meridian Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$9.3M
Lauderdale County Ems District	MS	Ambulance	$2.1M	$6.4M
Southern Home Private Care LLC	MS	Homemaker	$0	$6M
Kevin Douglas	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.9M
Douglas Orthodontics PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Anderson Regional Medical Center	MS	Rural Health Clinic/Center	$0	$5.4M
Laird Hospital, Inc	MS	Rural Health Clinic/Center	$0	$5.3M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Ms Eye Care PA	MS	Optometrist	$0	$4.4M

Rush Medical Foundation — 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