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.

Pediatrix Medical Group Of Mississippi, Inc. (NPI 1902949803)

Field	Value
Entity Type	Organization
Organization	Pediatrix Medical Group Of Mississippi, Inc.
Address	4566 S Eason Blvd
City	Tupelo
State	MS
ZIP	38801
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	February 14, 2007

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4,210	$190	$795.1K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	8,640	$60	$535.4K
99478	The provider directs the care of a recovering low birthweight infant, whose current weight is less than 1500 grams.	210	$90	$18.4K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	30	$600	$16.1K
92586	N/A	1,070	$10	$10.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	230	$30	$6.4K
92650	In this procedure, the provider measures the patient’s response to sound stimuli to screen auditory potential (electrical response). The screening uses frequency nonspecific stimuli and automated…	220	$10	$2K

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

Pediatrix Medical Group Of Mississippi, Inc. — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3	10	4,210	$260	$1.5M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	3	10	7,850	$90	$871.8K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	4	10	40	$550	$84.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	91	160	300	$40	$41.8K
99478	The provider directs the care of a recovering low birthweight infant, whose current weight is less than 1500 grams.	1	10	130	$90	$12.6K
92586	N/A	1	10	1,070	$10	$10.8K
92650	In this procedure, the provider measures the patient’s response to sound stimuli to screen auditory potential (electrical response). The screening uses frequency nonspecific stimuli and automated…	2	10	160	$10	$2.3K

Nearby Providers

Other providers in the same ZIP code as Pediatrix Medical Group Of Mississippi, Inc., ranked by combined Medicare and Medicaid revenue.

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
Happy Smiles Dentistry - Tupelo LLC	MS	General Practice Dentistry	$0	$16.2M
North Mississippi Ambulatory Surgery Center LLC	MS	Ambulatory Surgical Clinic/Center	$1.5M	$7.1M
Relias Emergency Medicine Specialists Of Tupelo LLC	MS	Emergency Medicine Physician	$0	$8.4M
Sog Surgery Center LLC	MS	Ambulatory Surgical Clinic/Center	$7.5M	$480
Prescribed Pediatric Extended Care, Inc	MS	Medically Fragile Infants and Children Day Care	$0	$7.2M
Kare-in-home Hospice Of North Mississippi, LLC	MS	Community Based Hospice Care Agency	$0	$5M
North Mississippi Allergy And Asthma Center PLLC	MS	Allergy & Immunology Physician	$0	$4.3M
Sanders Clinic For Women PA	MS	Obstetrics & Gynecology Physician	$0	$3.8M

Pediatrix Medical Group Of Mississippi, Inc. — Billing Profile & Reimbursement Data

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Pediatrix Medical Group Of Mississippi, 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

Nearby Providers

Frequently Asked Questions

References