Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMethodist Healthcare - Olive Branch Hospital
    Ask Trek AI about this page

    Methodist Healthcare - Olive Branch Hospital — Billing Profile & Reimbursement Data

    NPI 1912341439 · Olive Branch, MS · General Acute Care Hospital

    Customize your policy alerts

    Sign up for Methodist Healthcare - Olive Branch Hospital — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Methodist Healthcare - Olive Branch Hospital is a general acute care hospital provider located in Olive Branch, Mississippi. This profile covers 0 Medicare and 168 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMethodist Healthcare - Olive Branch Hospital
    Address4250 Bethel Rd
    CityOlive Branch
    StateMS
    ZIP38654
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedApril 26, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$18.1M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and reports $18.1M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer Medicaid in the available dataset. Its NPI was enumerated 2013-04-26 (~13 years ago), indicating roughly a decade-plus of active billing history under the current identity.

    Medicaid revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid codes (99284, 99283, 99285) together account for 60.2% of the provider's Medicaid revenue. Those three codes individually represent $4.6M (28.5%), $3.3M (20.6%), and $1.8M (11.1%) of Medicaid revenue respectively, signaling that ED visits are the primary revenue driver.

    The code mix and volumes point to an operational profile centered on an active emergency department with downstream observation and infusion activity. High counts for 99284 (26.3K claims) and 99283 (25.8K claims) are paired with sizable revenue from therapeutic/infusion codes such as 96374 ($1.2M, 14.4K claims) and observation billing G0378 ($546.9K, 4.6K claims), consistent with a hospital that triages, treats, and observes acute patients.

    Imaging and diagnostic support for acute care are prominent in the Medicaid mix, consistent with ED-focused workflows. Notable items include CT abdomen/pelvis 74177 ($727.8K, 5.1K claims), chest radiography 71046 ($363.7K, 9.6K claims), CT head 70450 ($244.7K, 5.3K claims), and EKG 93005 ($238.9K, 11.4K claims), which together reflect routine ED imaging and monitoring capacity.

    State-level competitive standing on the ED codes is elevated but not dominant: 99284 ranks #27 of 227 providers in-state (88th percentile), 99283 ranks #35 of 223 (85th percentile), and 99285 ranks #38 of 175 (79th percentile). These percentiles indicate a strong regional ED throughput and typical, unremarkable statewide volume — the facility is a significant participant in emergency care locally but not an outlier leader across Mississippi.

    There is at least one statistical outlier in diagnostic testing volume: 87635 (SARS–CoV–2 PCR) appears notably above typical state volume, ranking in the 94th percentile with 6.3K claims and $183.6K in Medicaid revenue (1.1%). Other high-percentile laboratory and panel codes such as 80053 (28K claims, $167.9K, 91st percentile) and 85025 (32.9K claims, $131.5K, 93rd percentile) support a pattern of substantial in-house lab throughput accompanying ED services.

    Payment mix within the ED codes shows moderate variation in average paid per claim that will influence revenue composition: 99284 averages $175/claim, 99283 averages $129/claim, and 99285 averages $188/claim. Combined with the high claim counts for these codes, this mix of low-to-high acuity ED visits explains why a relatively small set of codes (the top three) drives a large share (60.2%) of Medicaid revenue and suggests margins and operational priorities tied closely to emergency and acute-care throughput.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    168 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.26,330$180$4.6M
    99283The 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.25,800$130$3.3M
    99285The 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.9,520$190$1.8M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.14,400$90$1.2M
    74177The 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.5,050$140$727.8K
    G0378Hospital observation service, per hour4,640$120$546.9K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…9,570$40$363.7K
    99282The 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.4,550$80$345.9K
    96365The 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.3,430$90$291.1K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…2,860$90$263.2K

    Showing 1–10 of 168

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    168 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0378Hospital observation service, per hour17701,480$370$1.4M
    99284The 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.272303,260$120$1.4M
    99283The 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.352205,690$100$1.2M
    99285The 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.381803,000$140$1.1M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.14904,540$90$665.4K
    96365The 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.33902,110$80$325.8K
    74177The 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.211101,250$110$311.6K
    99282The 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.441502,200$70$280.7K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.38902,310$50$220.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…57130780$90$209.6K

    Showing 1–10 of 168

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Methodist Healthcare - Olive Branch Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Methodist Healthcare - Memphis HospitalsTNGeneral Acute Care Hospital$0$105.6M
    Methodist Healthcare - Memphis HospitalsTNChildren's Hospital$0$84.4M
    Ut Lebonheur Pediatric Specialists, Inc.TNPediatrics Physician$0$63.8M
    Primary Care Group LLCTNFamily Medicine Physician$0$23.5M
    Alliance Health Services Inc.TNDurable Medical Equipment & Medical Supplies$0$11.2M
    Methodist Inpatient Physicians LLCTNInternal Medicine Physician$0$4.8M
    Lebonheur Patient TransportationTNLand Ambulance$0$4.5M
    Specialty Physician Group LLCTNCardiovascular Disease Physician$0$3.3M
    Methodist Healthcare - Memphis HospitalsTNChildren's Hospital$0$3.3M
    Ut Methodist Physicians LLCTNInternal Medicine Physician$0$2.7M

    Nearby Providers

    Other providers in the same ZIP code as Methodist Healthcare - Olive Branch Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region Iv The HubMSCommunity/Behavioral Health Agency$0$4.6M
    Kls Medical ServicesMSIn Home Supportive Care Agency$0$4.4M
    Sidhu Pediatrics, LLCMSPediatrics Physician$0$3.4M
    Precision Life Sciences LLCMSClinical Medical Laboratory$2.4M$855.2K
    Charles RyanMSObstetrics & Gynecology Physician$4.5K$1.5M
    Calvin BrownMSOphthalmology Physician$1.2M$0
    City Of Olive BranchMSLand Ambulance$409.9K$659.7K
    Robert PickeringMSOrthopaedic Surgery Physician$345.7K$0
    Randall HulingMSFamily Medicine Physician$321.7K$0
    Shailesh PatelMSInternal Medicine Physician$202.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Methodist Healthcare - Olive Branch Hospital — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi