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.

Children's Clinic Of Oxford, P.A. (NPI 1801916481)

Children's Clinic Of Oxford, P.A. is a pediatrics physician provider located in Oxford, Mississippi. This profile covers 0 Medicare and 52 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	Children's Clinic Of Oxford, P.A.
Address	2888 S Lamar Blvd
City	Oxford
State	MS
ZIP	38655
Taxonomy	Pediatrics Physician
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20,250	$60	$1.3M
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…	13,160	$60	$842.2K
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…	3,120	$70	$227.9K
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…	3,140	$70	$216.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	910	$70	$64.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	780	$70	$54.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	190	$80	$14K
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.	260	$50	$13.6K
99381	The provider performs a well–baby visit for a child under the age of one.	260	$50	$13.4K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	1,420	$1	$4.3K

Showing 1–10 of 52

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

Children's Clinic Of Oxford, P.A. — 1 of 12 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

52 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…	181	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…	50	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…	55	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…	46	1,670	720	$50	$196.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	90	160	710	$30	$119.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	56	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.	66	190	120	$20	$56.6K
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,…	182	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.	37	230	140	$90	$45.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	118	440	1,410	$1	$40.1K

Showing 1–10 of 52

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital North Mississippi, Inc	MS	General Acute Care Hospital	$0	$38.9M
North Mississippi Commission On Mental Illness/mental Retardation	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.1M
North Mississippi Commission On Mental Illness/mental Retardation	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.3M
North Ms Regional Center	MS	Community/Behavioral Health Agency	$0	$9.4M
Oxford Dental Specialists	MS	Pediatric Dentistry	$0	$8.9M
Gathright-reed Medical Supply LLC	MS	Community/Retail Pharmacy	$0	$7.3M
Baptist And Physicians Outpatient Surgery Center Of North Ms, LP	MS	Ambulatory Surgical Clinic/Center	$2.4M	$2.4M
Go Orthodontics Partnership	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.1M
Oxford Eye Surgery Center,l.p	MS	Ophthalmologic Surgery Clinic/Center	$2.5M	$851.8K
North Ms Outpatient Therapy	MS	Physical Therapist	$0	$3.2M

Children's Clinic Of Oxford, P.A. — Billing Profile & Reimbursement Data

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Children's Clinic Of Oxford, P.A. — 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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