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.

Mississippi Band Of Choctaw Indians (NPI 1790865780)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mississippi Band Of Choctaw Indians
Address	210 Hospital Cir
City	Choctaw
State	MS
ZIP	39350
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicaid	$56.9M
Medicare	$0

This provider is effectively single‑payer at scale: there is no Medicare billing on file while total Medicaid revenue is $56.9M, meaning operational and reimbursement risk is concentrated in Medicaid payments rather than a mixed Medicare/Medicaid model. Analysts should treat Medicaid policy and state-level rate changes as primary drivers of near‑term revenue variability for this entity.

Revenue concentration is high: the precomputed top three Medicaid codes (99213, S9430, 99212) together account for 69.2% of the provider’s total Medicaid revenue. Those individual contributions are large in dollar terms (99213: $20.3M / 35.7%; S9430: $12.2M / 21.4%; 99212: $6.9M / 12.1%), signaling dependence on a narrow set of services for the majority of Medicaid receipts.

The code mix indicates an ambulatory care–and‑pharmacy oriented operation: dominant E/M office visit codes (99213, 99212, 99211) drive the largest shares of revenue, consistent with a high volume primary care or outpatient clinic model, while S9430 (pharmacy compounding/dispensing) as the second‑largest revenue line points to significant on‑site dispensing or pharmacy services integrated with clinical care. Emergency department E/M codes (99283, 99282, 99284) also appear in the top lines but at smaller shares, suggesting ED services are present but not the primary revenue engine.

Competitive standing for the headline E/M code is extreme: 99213 is an extreme outlier in the state, ranking #19 of 1909 providers (99th percentile) with $20.3M in revenue, indicating this provider is a dominant statewide performer for that office‑visit E/M volume. Supporting E/M codes also show above‑average statewide presence (99212 ranks #12 of 672, 98th percentile and is described as notably above typical; 99211 ranks #7 of 191, 97th percentile and is described as typical/unremarkable), reinforcing a market position centered on high outpatient visit throughput.

S9430 reflects a specialized dispensing footprint: the provider ranks #1 of 2 in-state (100th percentile) for this pharmacy compounding and dispensing service, generating $12.2M (21.4% of Medicaid revenue). While the descriptor provided is “typical, unremarkable volume for this code,” the combination of being the top in-state biller (albeit within a very small peer set) and the large dollar share marks the facility as a key local source of dispensed/compounded pharmaceuticals within the Medicaid population.

Emergency care and procedural dentistry are secondary but visible lines: 99283 (ED, low level) produces $4.3M (7.6% of Medicaid revenue) and ranks in the middle of state peers (66th percentile, typical/unremarkable), while dental preventive and radiographic codes (D1206, D0220, D1120, D1351) appear lower on the list with modest revenue shares under 1.5% each. These entries suggest the provider offers a mix of ED and outpatient dental/preventive services alongside its dominant outpatient clinic and pharmacy activity.

There are multiple instances where the provider ranks in the top few statewide billers for discrete codes beyond the headline E/M lines: examples include 0001A (rank #3 of 75, 97th percentile, described as notably above typical), 0002A (rank #3 of 55, 96th percentile, described as notably above typical), and 0071A (rank #3 of 45, 95th percentile, described as notably above typical). These clustered high ranks for several specific codes indicate the provider is a leading state supplier for certain procedures or administered services and may capture outsized share in niche categories even while overall Medicaid revenue is concentrated in a few major lines.

The provider has a long‑standing presence in federal provider registries, with an NPI enumerated 2006-10-16 (~20 years ago), which supports interpretation of the observed code mix as an established operational pattern rather than a short‑term anomaly. Given the heavy Medicaid concentration and the prominence of a few codes, payers and contracting analysts should prioritize Medicaid rate negotiations and monitoring of utilization trends for 99213 and S9430 when assessing financial and network impacts.

Medicaid: Complete Services Breakdown

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

45 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…	55,720	$360	$20.3M
S9430	Pharmacy compounding and dispensing services	38,860	$310	$12.2M
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,…	15,130	$450	$6.9M
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.	11,630	$480	$5.6M
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.	11,680	$370	$4.3M
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.	3,160	$480	$1.5M
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.	2,040	$420	$849K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,530	$480	$736.6K
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…	1,550	$470	$730.7K
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…	1,560	$420	$652K

Showing 1–10 of 45

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

Mississippi Band Of Choctaw Indians — 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9430	Pharmacy compounding and dispensing services	1	10	19,470	$310	$6.1M
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.	127	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.	76	220	5,690	$100	$1.2M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	283	280	600	$100	$681.9K
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.	59	150	2,200	$70	$280.7K
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…	19	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…	79	170	1,210	$90	$275K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	133	160	380	$70	$223.2K
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…	91	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…	609	1,670	720	$50	$196.4K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neshoba County General Hospital	MS	Critical Access Hospital	$0	$22.4M
Neshoba County General Hospital	MS	Rural Health Clinic/Center	$0	$7.2M
New Beginnings Adult Day Care Services	MS	Adult Day Care Clinic/Center	$0	$4.8M
Performance Therapy LLC	MS	Physical Therapist	$0	$4M
New Beginnings Adult Day Care Services, LLC	MS	Homemaker	$0	$3.6M
Neshoba County Ambulance Enterprise	MS	Land Ambulance	$549.4K	$2.3M
Neshoba County General Hospital	MS	Rural Health Clinic/Center	$0	$2.4M
Neshoba County General Hospital	MS	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
Richard Stribling	MS	Optometrist	$136K	$73.5K

Mississippi Band Of Choctaw Indians — Billing Profile & Reimbursement Data

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Mississippi Band Of Choctaw Indians — 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

Nearby Providers

Frequently Asked Questions

References