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.

Wesley Health System LLC (NPI 1841241841)

Field	Value
Entity Type	Organization
Organization	Wesley Health System LLC
Address	5001 Hardy St
City	Hattiesburg
State	MS
ZIP	39402
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 14, 2006

Payer Source	Total Paid
Medicaid	$37.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused hospital: there is no Medicare billing on file and lifetime Medicaid revenue is reported at $37.9M, indicating Medicaid is the dominant — effectively sole — public payer represented in the dataset. The NPI was enumerated on 2006-05-14 (~20 years ago), so this is an established facility with two decades of presence in the registry.

Revenue is highly concentrated in a small set of Medicaid codes: the top 3 Medicaid codes by revenue account for 45.8% of total Medicaid revenue. Those top three are 99283 ($6.2M, 19.9%), 99284 ($5.4M, 17.5%), and 92507 ($2.6M, 8.3%), showing that a few services drive almost half of Medicaid receipts.

Clinical mix and service-line implications point to a heavy emergency department footprint: 99283 has 44.9K claims and $6.2M revenue, 99284 has 28.1K claims and $5.4M revenue, and 99285 has 12.3K claims and $2.5M revenue. Those three E/M ED codes together dominate the top-of-file revenue items, which suggests operational emphasis on high-throughput emergency care and associated observation/acute services (e.g., G0378 with $1.6M revenue).

Rehabilitation and therapy are also large, high-volume service lines for Medicaid at this provider: 97530 shows 61.8K claims for $1.9M revenue (98th percentile, labeled an extreme outlier) and 97110 has 58.8K claims for $1.3M revenue (98th percentile). The combination of very large claim counts with modest per-claim reimbursement indicates a resource- and throughput-intensive therapy program that contributes materially to Medicaid revenue.

Audiology/communication services are an exceptional outlier in-state: 92507 has 50.7K claims, $51 avg paid/claim, $2.6M revenue and ranks #4 of 224 providers in-state (99th percentile, extreme outlier). That single code’s unusually high volume relative to peers suggests a specialized clinic or high-volume screening/assessment pathway for communication and hearing disorders within the hospital system.

The provider is a major statewide participant for several specific Medicaid services but remains typical for core ED codes: for example, 99283 ranks #10 of 223 providers in-state (96th percentile) and 99284 ranks #22 of 227 (91th percentile) and are characterized in the file as typical, unremarkable volumes despite large absolute claim counts. Conversely, the facility ranks at or near the top for niche services (e.g., 93975 is #1 of 6 providers, 100th percentile; 92507 is in the 99th percentile), so competitive strength is concentrated in selected service areas rather than broad dominance across all Medicaid inpatient/outpatient categories.

High-volume diagnostic and point-of-care testing is another revenue component: 87426 (SARS–CoV–2 testing) has 18.7K claims and $542.9K revenue (99th percentile, extreme outlier) and 87804 (influenza testing) has 19.2K claims and $441.6K revenue (96th percentile). Combined with imaging entries such as 74177 (3.7K claims, $615.9K) and cardiac imaging 78452 ($453.7K), the data indicate substantial throughput for infectious-disease testing and diagnostic imaging in the Medicaid population.

Operationally, the Medicaid revenue profile is driven by very high claim volumes with modest per-claim payments across multiple low-to-mid-value codes (examples include 97530 at $30 avg paid/claim with 61.8K claims, 97110 at $22 with 58.8K claims, and 93005 at $20 with 21.4K claims). This pattern implies that labor, scheduling, and capacity management for high-volume outpatient/ED and therapy workflows are likely critical to financial performance, rather than reliance on a small number of high-dollar inpatient procedures.

Medicaid: Complete Services Breakdown

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

253 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	44,870	$140	$6.2M
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.	28,050	$190	$5.4M
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…	50,720	$50	$2.6M
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.	12,330	$210	$2.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	61,790	$30	$1.9M
G0378	Hospital observation service, per hour	4,760	$330	$1.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	58,810	$20	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12,230	$90	$1.1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,800	$520	$935.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	29,870	$20	$657.1K

Showing 1–10 of 253

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

Wesley Health System LLC — 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

253 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	16	70	1,480	$370	$1.4M
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.	22	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.	10	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.	29	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.	21	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.	23	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.	28	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…	4	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.	27	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…	814	1,910	930	$60	$278.7K

Showing 1–10 of 253

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wesley Health System LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Clemmons	MS	Psychologist	$24K	$0

Nearby Providers

Other providers in the same ZIP code as Wesley Health System LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aaa Ambulance Service	MS	Land Ambulance	$5.2M	$20.1M
Wright Lauten	MS	Retina Specialist (Ophthalmology) Physician	$11.8M	$20.3K
Middleton & Belknap Pediatric Dentistry PLLC	MS	Pediatric Dentistry	$0	$11.3M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$10.9M
Metro Medical Supply Company LLC	MS	Durable Medical Equipment & Medical Supplies	$0	$10.2M
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$10.1M
Wesley Physician Services LLC	MS	Family Medicine Physician	$0	$8.2M
Latonya Hailes	MS	Community Health Worker	$0	$8M
Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.	MS	Oral and Maxillofacial Surgery (Dentist)	$0	$7.4M
James Harris	MS	Pediatric Dentistry	$0	$7.2M

Wesley Health System LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References