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.

Pontotoc Health Services, Inc. (NPI 1821103516)

Pontotoc Health Services, Inc. is a critical access hospital provider located in Pontotoc, Mississippi. This profile covers 0 Medicare and 115 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	Pontotoc Health Services, Inc.
Address	176 S Main St
City	Pontotoc
State	MS
ZIP	38863
Taxonomy	Critical Access Hospital
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

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

115 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.	14,790	$210	$3.2M
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.	12,870	$130	$1.7M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	11,360	$130	$1.5M
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.	3,170	$290	$927.3K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	7,910	$50	$403.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,150	$120	$378.4K
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…	5,590	$50	$279.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,430	$110	$276.8K
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…	5,750	$50	$264.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	5,170	$50	$258.4K

Showing 1–10 of 115

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

Pontotoc Health Services, Inc. — 0 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

115 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	52	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.	70	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.	84	180	3,000	$140	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	53	90	4,540	$90	$665.4K
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.	58	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.	66	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…	64	220	1,590	$50	$291.3K
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.	60	150	2,200	$70	$280.7K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	47	90	2,310	$50	$220.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	13	80	650	$50	$215.4K

Showing 1–10 of 115

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Mississippi Medical Center, Inc.	MS	General Acute Care Hospital	$0	$117.7M
North Mississippi Medical Clinics Inc	MS	Internal Medicine Physician	$0	$16.9M
North Mississippi Medical Center Inc.	MS	Rural Health Clinic/Center	$0	$7.7M
North Mississippi Medical Center Inc.	MS	Internal Medicine Physician	$0	$2.9M
North Mississippi Medical Center, Inc.	MS	Home Health Agency	$0	$1.6M
North Mississippi Medical Center Inc.	MS	Rural Health Clinic/Center	$0	$1.5M
North Mississippi Medical Center, Inc.	MS	Maternal & Fetal Medicine Physician	$0	$1.2M
Doyle Renfroe	MS	Urology Physician	$1.1M	$2.5K
Brent Hardin	MS	Urology Physician	$974.2K	$4.2K
Adam Stewart	TN	Urology Physician	$779.2K	$430

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Three Rivers Planning & Development District	MS	Home Delivered Meals	$0	$28.2M
Redmed, LLC	MS	Urgent Care Clinic/Center	$0	$10.9M
R&b Dental Group Inc	MS	General Practice Dentistry	$0	$1.4M
Christopher Park	MS	Family Medicine Physician	$144.8K	$2K
Mississippi Cvs Pharmacy, L.L.C.	MS	Pharmacy	$107.7K	$5.8K
Flavia West	MS	Family Medicine Physician	$101K	$2.5K
Timothy Thompson	MS	Family Medicine Physician	$95.5K	$0
Austin Pitman	MS	Family Nurse Practitioner	$82.2K	$0
Jessica Skinner	MS	Family Nurse Practitioner	$63.7K	$0
David Washington	MS	Physical Therapist	$62.7K	$0

Pontotoc Health Services, Inc. — Billing Profile & Reimbursement Data

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Pontotoc Health Services, Inc. — 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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