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.

Vicksburg Clinic LLC (NPI 1790711158)

Vicksburg Clinic LLC is a family medicine physician provider located in Vicksburg, Mississippi. This profile covers 0 Medicare and 109 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	Vicksburg Clinic LLC
Address	2100 Highway 61 N
City	Vicksburg
State	MS
ZIP	39183
Taxonomy	Family Medicine Physician
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

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

109 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…	31,970	$30	$991.2K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	3,040	$190	$578.4K
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…	11,020	$40	$484.9K
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…	4,370	$70	$301.8K
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…	5,260	$40	$231.4K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	3,210	$70	$208.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	1,960	$90	$180.6K
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…	5,030	$30	$125.7K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	2,480	$50	$116.6K
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,…	4,760	$20	$104.8K

Showing 1–10 of 109

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

Vicksburg Clinic LLC — 2 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

109 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…	57	1,910	930	$60	$278.7K
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…	28	120	1,480	$90	$263.1K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	3	20	400	$160	$231.2K
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…	13	130	780	$90	$209.6K
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…	119	1,670	720	$50	$196.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	22	50	260	$260	$179.1K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	4	20	290	$170	$176.6K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	25	120	890	$90	$145.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	34	130	320	$30	$139.9K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	9	30	390	$70	$128.7K

Showing 1–10 of 109

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vicksburg Clinic LLC	MS	Rural Health Clinic/Center	$0	$15.9M
Steven Zachow	MS	Radiation Oncology Physician	$448.8K	$0
Olatunji Oluwatade	MS	Infectious Disease Physician	$436.6K	$0
Alan Torrey	MS	Pain Medicine (Anesthesiology) Physician	$396.2K	$0
Paul Pierce	MS	Cardiovascular Disease Physician	$291.9K	$0
Robert Humble	LA	Urology Physician	$189.6K	$0
Sidney Johnson	MS	Radiation Oncology Physician	$184.8K	$0
John Fagan	MS	Urology Physician	$172.2K	$0
Murray Whitaker	MS	Cardiovascular Disease Physician	$123.7K	$0
Christopher Tipton	MS	Orthopaedic Surgery Physician	$105K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vicksburg Healthcare LLC	MS	General Acute Care Hospital	$0	$23M
Roderick Coleman	MS	Pediatric Dentistry	$0	$2.8M
Vicksburg Family Dental	MS	General Practice Dentistry	$0	$2.6M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Gateway Behavioral Health Services	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Roderick L. Coleman, D.m.d., PA	MS	Pediatric Dentistry	$0	$1.4M
Drs. Coleman And Taylor, D.d.s., M.s.	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M
Kathleen Hardin	MS	Diagnostic Radiology Physician	$124.1K	$0
Melanie Waldrop	MS	Certified Registered Nurse Anesthetist	$68.9K	$0
James Stanford	MS	Otolaryngology Physician	$67.8K	$0

Vicksburg Clinic LLC — Billing Profile & Reimbursement Data

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Vicksburg Clinic LLC — 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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