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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Baptist Health Centers LLC (NPI 1861456923)

Field	Value
Entity Type	Organization
Organization	Baptist Health Centers LLC
Address	803 North St E
City	Talladega
State	AL
ZIP	35160
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicaid	$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.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	21,830	$90	$2M
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.	280	$60	$17.9K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	150	$10	$900
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	70	$10	$720
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	80	$1	$240
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	20	$1	$40
1036F	N/A	120	$0	$0
1159F	No Summary found for this code	240	$0	$0
1160F	No Summary found for this code	240	$0	$0
3008F	No Summary found for this code	170	$0	$0

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Baptist Health Centers LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	67	240	6,820	$120	$2.9M
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…	110	1,990	680	$60	$201.7K
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…	253	1,990	560	$40	$185.6K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	138	230	240	$1	$32.9K
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.	79	210	150	$40	$23.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	192	230	920	$10	$22.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	236	360	240	$10	$18.3K
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…	113	140	50	$40	$7.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	82	130	150	$10	$5.2K
J1030	Injection, methylprednisolone acetate, 40 mg	58	80	90	$1	$920

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Physician Network LLC	SC	Internal Medicine Physician	$0	$7.4M
Baptist Health Centers LLC	AL	Specialist	$0	$7M
Baptist Health Centers, LLC	AL	Health Service Clinic/Center	$0	$2.1M
Baptist Health Centers, LLC	AL	Family Medicine Physician	$0	$990.6K
Nopporn Unnoppet	AL	Rheumatology Physician	$559.5K	$0
Ashish Mahajan	OH	Interventional Cardiology Physician	$282.5K	$0
Dale Kirby	AL	Clinical Cardiac Electrophysiology Physician	$274.4K	$0
John Eagan	AL	Cardiovascular Disease Physician	$254.9K	$0
Sanjeev Hasabnis	AL	Clinical Cardiac Electrophysiology Physician	$210.3K	$0
Raashid Ashraf	AL	Cardiovascular Disease Physician	$185.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alteon Health Alabama, LLC	AL	Emergency Medicine Physician	$0	$8.4M
Kids Clinic Pediatric And Adolescent Medicine	AL	Pediatric Adolescent Medicine Physician	$0	$7.3M
Quality Of Life Health Services, Inc	AL	Primary Care Clinic/Center	$0	$3.2M
Bbh Cbmc, LLC	AL	General Acute Care Hospital	$0	$2.9M
Northstar Ems Inc	AL	Land Ambulance	$379.4K	$910.2K
Smart Care, LLC	AL	Pediatrics Physician	$0	$1.2M
Alabama Eye Clinic PC	AL	Optometrist	$0	$894.6K
Walgreen Co	AL	Pharmacy	$76.6K	$8.3K
Pramod Bhatia	AL	Otolaryngology Physician	$31.9K	$21.5K
Joseph Schnorbus	AL	Optometrist	$38.9K	$0

Baptist Health Centers LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References