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.

Hancock Womens Center PA (NPI 1831360098)

Field	Value
Entity Type	Organization
Organization	Hancock Womens Center PA
Address	1009 Benigno Lane
City	Bay St Louis
State	MS
ZIP	39520
Taxonomy	Gynecology Physician
NPI Enumerated	March 17, 2008

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 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…	7,730	$60	$494.7K
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…	4,700	$70	$343.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,370	$60	$85.1K
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…	680	$70	$50.6K
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…	990	$40	$43.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	1,820	$20	$40.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	1,810	$20	$39.8K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	30	$710	$21.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	170	$100	$17.9K
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	680	$10	$8.8K

Showing 1–10 of 26

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

Hancock Womens Center PA — 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

26 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…	933	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…	22	120	1,480	$90	$263.1K
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…	179	1,670	720	$50	$196.4K
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…	67	120	890	$90	$145.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3	10	20	$610	$132.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	25	80	520	$60	$100.8K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	50	60	320	$50	$93.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	32	110	510	$20	$70K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	32	110	490	$20	$68.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	10	10	40	$410	$61.1K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Hancock Womens Center PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Medical Center - Hancock LLC	MS	General Acute Care Hospital	$0	$16.8M
James Rahaim	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M
Covenant Laboratories	MS	Clinical Medical Laboratory	$3.6M	$350.8K
Ochsner Mississippi, LLC	MS	Internal Medicine Physician	$0	$3.2M
J Austin Rahaim, Dmd, Ms, PA	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.6M
Hancock Emergency Group LLC	MS	Emergency Medicine Physician	$0	$2M
Coastal Family Health Center, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$1.5M
Children's International, LLC	MS	Primary Care Clinic/Center	$0	$1.4M
Matthew Brennan	MS	General Practice Physician	$1.4M	$0
Matthew Capo	MS	Physical Therapist	$193.1K	$0

Hancock Womens Center PA — Billing Profile & Reimbursement Data

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Hancock Womens Center PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References