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.

Jefferson County Board Of Health (NPI 1942235825)

Field	Value
Entity Type	Organization
Organization	Jefferson County Board Of Health
Address	631 Bessemer Super Hwy
City	Midfield
State	AL
ZIP	35228
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$10.7M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file and all documented program revenue is Medicaid-based, totaling $10.7M. The absence of Medicare claims indicates the organization operates primarily within the state Medicaid system rather than the Medicare market.

Revenue is highly concentrated in a small set of evaluation-and-management and preventive codes: the precomputed top-3 Medicaid codes account for 57.7% of the provider’s total Medicaid revenue, led by 99213 at $3.5M (33.1%), followed by 99391 at $1.4M (13.1%) and 99392 at $1.2M (11.6%). This concentration implies that routine office visits and preventive medicine visits are the dominant revenue drivers.

The code mix signals a public-health clinic model focused on primary care and pediatric/adolescent preventive services: high-volume codes include 99213 (35.6K claims, $98 avg paid/claim), 99393 (4.5K claims, $246 avg paid/claim) and 99394 (3.8K claims, $240 avg paid/claim), and the provider also bills routine vaccines and screening tests (90686, 90670, 87426, 87880, 87804). Together these codes point to a practice delivering well-child/well-adolescent visits, immunizations, and basic diagnostic screening at scale.

On competitive standing within the state, several high-volume codes place the provider well above peers: 99213 ranks #48 of 1988 providers (98th percentile; notably above typical state volume for this code), and preventive pediatric codes such as 99393 and 99394 rank in the 90th and 95th percentiles respectively (described as typical, unremarkable volume for some preventive codes but high relative rank for these). These rankings indicate the provider is a major statewide participant for routine outpatient and preventive pediatric care.

Certain service lines are distinctive and comparatively outsized: reproductive health and family-planning services show elevated relative volume — J1050 (medroxyprogesterone) appears at 4.9K claims and ranks #6 of 44 (88th percentile; typical, unremarkable volume), while S4993 (contraceptive pills) ranks #4 of 73 (96th percentile; notably above typical state volume for this code). These placements suggest an active contraceptive and reproductive health program within the clinic mix.

The practice appears to deliver both low- and higher-complexity visits and some care-coordination activities: 99214 (6.6K claims, $173 avg) contributes $1.2M (10.9%), and higher-complexity new-patient visits like 99205 (690 claims, $234 avg) produce $161.5K and rank #12 of 155 (93rd percentile; notably above typical state volume for this code). Coordinated-care codes G9008 and G9004 are also billed (G9004 ranks #2 of 34, 97th percentile; notably above typical state volume), indicating structured care management or oversight services alongside primary care.

Operationally, preventive and screening throughput is substantial: high claim counts for point-of-care screenings and vaccinations — 99173 (10.3K claims), 92551 (9.6K claims), 90686 (6.5K claims) and multiple laboratory/immunoassay codes — support a model with significant walk-in/clinic-based screening and immunization activity. These volumes reinforce the interpretation of a community-facing public health operation with recurring clinic touchpoints.

The provider is long-tenured in national enrollment, with an NPI enumeration date of 2006-07-11 (~20 years ago), consistent with an established public health or welfare agency operation. Combined with the Medicaid revenue profile and high statewide ranks on core preventive and E/M codes, the tenure underscores sustained engagement in state Medicaid service delivery rather than a recent or transient billing presence.

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	35,600	$100	$3.5M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,590	$250	$1.4M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,980	$250	$1.2M
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…	6,650	$170	$1.2M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,480	$250	$1.1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,850	$240	$923.5K
J1050	Injection, medroxyprogesterone acetate, 1 mg	4,860	$60	$267.1K
G9008	Coordinated care fee, physician coordinated care oversight services	4,820	$50	$260.1K
99205	The provider sees a new 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 provider…	690	$230	$161.5K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	4,570	$10	$54.9K

Showing 1–10 of 57

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

Jefferson County Board Of Health — 4 of 25 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

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9008	Coordinated care fee, physician coordinated care oversight services	32	170	1,500	$100	$860K
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…	237	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…	48	1,990	560	$40	$185.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	40	270	1,360	$60	$159.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	49	300	1,160	$50	$147.8K
T1017	Targeted case management, each 15 minutes	63	70	2,130	$50	$117.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	34	320	640	$50	$98.1K
G9003	Coordinated care fee, risk adjusted high, initial	25	60	160	$220	$83.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	17	300	330	$50	$56.3K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	42	260	910	$20	$47.2K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jefferson County Board Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$12.2M
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$11.7M

Nearby Providers

Other providers in the same ZIP code as Jefferson County Board Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vital Smiles Alabama, P.C.	AL	General Practice Dentistry	$0	$2.2M
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$903.5K

Jefferson County Board Of Health — Billing Profile & Reimbursement Data

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Jefferson County Board Of Health — 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