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.

Baptist Memorial Hospital Union County, Inc. (NPI 1780648352)

Field	Value
Entity Type	Organization
Organization	Baptist Memorial Hospital Union County, Inc.
Address	200 Hwy 30 W
City	New Albany
State	MS
ZIP	38652
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 12, 2006

Payer Source	Total Paid
Medicaid	$32.8M
Medicare	$0

Key Findings

BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. is effectively a Medicaid-focused provider with no Medicare billing on file and $32.8M in total Medicaid revenue, making Medicaid the sole reported payer revenue stream in this dataset. The absence of Medicare billing indicates the facility’s reported activity in this dataset is concentrated entirely in the Medicaid population rather than split across payers.

Revenue is heavily concentrated in emergency department evaluation-and-management services: the top three Medicaid codes (99284, 99283, 99285) together account for 46.1% of this provider's total Medicaid revenue. Individually those codes are $5.3M (19.5%) for 99284, $3.9M (14.3%) for 99283, and $3.3M (12.3%) for 99285, signaling that nearly half of Medicaid revenue is driven by ED visits at varying complexity levels.

The code mix indicates an operational emphasis on acute and ambulatory emergency care supplemented by short-stay observation and imaging services. High-revenue ED codes pair with G0378 (hospital observation service, $1M) and multiple CT and radiology entries (74177, 74176, 70450) as well as chest x-ray 71045, which together suggest a workflow centered on triage, imaging-backed diagnosis, and brief observation stays.

There is a meaningful infusion/oncology outpatient footprint: J9271 (pembrolizumab) generated $2.2M (8.2%) and 96413 (chemotherapy) contributed $728.2K (2.7%), supported by high volumes of infusion administration codes such as 96374, 96365, and 96375. J9271 ranks #6 of 14 providers in-state (62th percentile) and 96413 ranks #8 of 26 (72th percentile), indicating the hospital is a notable but not dominant regional provider for certain oncology drugs and chemotherapy services.

Testing and procedure volumes include several extreme outliers that distinguish the provider from peers: 87804 (influenza immunoassay) appears as an extreme outlier with 45.6K claims and $501.5K revenue, ranking #6 of 623 providers in-state (99th percentile), and U0002 (SARS-CoV-2, non-CDC) is also an extreme outlier at 15K claims and $435.3K revenue, ranking #2 of 85 providers (99th percentile). High-volume injection/administration activity is also extreme relative to peers — 96372 shows 22.3K claims and ranks #20 of 751 (97th percentile) — which together point to substantial point-of-care testing and high throughput for basic procedures.

Competitive standing across Medicaid is mixed: for core ED codes the hospital ranks in the upper quartile statewide (99284 at #25 of 227, 89th percentile; 99283 at #28 of 223, 88th percentile; 99285 at #25 of 175, 86th percentile), marking it as a higher-than-average volume ED provider without being the dominant system-wide leader. By contrast, for specific diagnostics and testing (87804, U0002) and some administration codes (96372, CMP 80053) the provider sits among the very highest statewide volumes, identifying pockets of outsized market share in testing and routine procedural throughput.

The provider has an established presence in the NPI registry, enumerated on 2006-04-12 (~20 years ago), indicating long tenure in the market. That multi-decade presence combined with concentrated Medicaid revenue and high ED/testing volumes suggests operational stability within its local Medicaid market but also a revenue profile sensitive to Medicaid policy, ED utilization patterns, and testing demand shifts.

Medicaid: Complete Services Breakdown

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

287 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.	26,620	$200	$5.3M
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.	28,850	$130	$3.9M
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.	16,500	$200	$3.3M
J9271	Injection, pembrolizumab, 1 mg	660	$3,380	$2.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17,370	$70	$1.3M
G0378	Hospital observation service, per hour	2,410	$420	$1M
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.	4,990	$150	$743.8K
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.	9,260	$80	$740.6K
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…	8,470	$90	$728.2K
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…	22,270	$30	$645.9K

Showing 1–10 of 287

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

Baptist Memorial Hospital Union County, Inc. — 4 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

287 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	6	10	390	$3,870	$2M
G0378	Hospital observation service, per hour	32	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.	25	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.	28	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.	25	180	3,000	$140	$1.1M
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	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.	10	90	4,540	$90	$665.4K
J2505	Injection, pegfilgrastim, 6 mg	5	10	220	$1,630	$588.9K
J0897	Injection, denosumab, 1 mg	5	20	960	$500	$531.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	32	50	300	$510	$483.3K

Showing 1–10 of 287

Related Providers

Other providers that share a Tax Identification Number (TIN) with Baptist Memorial Hospital Union County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Todd Edwards	TN	Cardiovascular Disease Physician	$837.5K	$0
Justin May	TN	Interventional Cardiology Physician	$533.8K	$0
Christopher Ingelmo	TN	Clinical Cardiac Electrophysiology Physician	$473.8K	$0
Marley Rumbarger	MS	Nurse Practitioner	$416.3K	$0
Edward Muir	TN	Hematology & Oncology Physician	$392.8K	$0
Katelynn Pannell	MS	Family Nurse Practitioner	$369K	$0
Jimmy Sneed	MS	Interventional Cardiology Physician	$351.1K	$0
Kevin Collins	TN	Radiation Oncology Physician	$338.4K	$0
Clarance Farmer	MS	Urology Physician	$312.8K	$0
Jon Posey	MS	Urology Physician	$302.9K	$0

Nearby Providers

Other providers in the same ZIP code as Baptist Memorial Hospital Union County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cooks Healthcare, LLC	MS	In Home Supportive Care Agency	$0	$24.8M
Internal Medicine And Pediatric Clinic Of New Albany, PLLC	MS	Internal Medicine Physician	$0	$9.9M
New Albany Ob/gyn Clinic PC	MS	Clinic/Center	$0	$6.5M
Spartan Orthopaedics, LLC	MS	Orthopaedic Surgery Physician	$0	$2.8M
James Googe	MS	Pediatrics Physician	$0	$2.4M
Cooks Adult Day Care LLC	MS	Home Health Agency	$0	$1.5M
Renal Care Group Tupelo, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M
James Coleman	MS	Dentist	$0	$1.2M
William Frohn	MS	Specialist	$6.3K	$633.3K
Michael Scott	MS	Internal Medicine Physician	$342K	$0

Baptist Memorial Hospital Union County, Inc. — Billing Profile & Reimbursement Data

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Baptist Memorial Hospital Union County, 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