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.

Southwest Mississippi Regional Medical Center (NPI 1962451831)

Southwest Mississippi Regional Medical Center is a rural health clinic/center provider located in Mccomb, Mississippi. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Southwest Mississippi Regional Medical Center
Address	1506 Aston Ave
City	Mccomb
State	MS
ZIP	39648
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	12,930	$60	$762.9K
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…	6,110	$50	$281K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	9,870	$20	$157.9K
G0512	Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm…	860	$30	$27.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	5,410	$1	$5.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	210	$1	$840
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$10	$540
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	10	$10	$80
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	30	$1	$80
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…	40	$1	$40

Showing 1–10 of 11

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

Southwest Mississippi Regional Medical Center — 1 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	354	1,910	930	$60	$278.7K
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…	92	1,670	720	$50	$196.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	515	670	230	$60	$89.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	444	750	400	$20	$52.5K
G0512	Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm…	1	10	860	$30	$27.3K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	4	120	810	$10	$22.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	122	780	470	$1	$10.4K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	24	20	50	$10	$1K
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…	275	400	90	$1	$940
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	95	110	120	$1	$570

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Mississippi Regional Medical Center	MS	General Acute Care Hospital	$0	$46.6M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Southwest Mississippi Regional Medical Center	MS	Critical Access Hospital	$0	$2.6M
Southwest Mississippi Regional Medical Center	MS	Rural Health Clinic/Center	$0	$1.8M
Gary Jones	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$829.4K	$0
Fisher Covin	MS	Cardiovascular Disease Physician	$303.2K	$0
Ronald Delrie	MS	Hematology & Oncology Physician	$291.9K	$0
Samuel Johnson	MS	Specialist	$276.2K	$0
Robert Dewitt	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$269.1K	$0
Paul Dykes	MS	Nephrology Physician	$239.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mccomb Children's Clinic, Ltd	MS	Pediatrics Physician	$0	$13.2M
Sw Ms Mental Health Mental Retardation Commission	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Southwest Mississippi Mental Health Mental Retardation Commission	MS	Social Worker	$0	$5M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
The Summit Health & Rehab Services, Inc	MS	Physical Therapist	$0	$3.1M
Mississippi Dentistry For Children, Inc	MS	Pediatric Dentistry	$0	$2.8M
Lauren Jones	MS	Pediatric Dentistry	$0	$2.5M
Dween Muse	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.7M
Angel Wings Personal And Respite Care Home	MS	Respite Care	$0	$1.5M
Med-trans Corporation	MS	Air Ambulance	$591.6K	$714.8K

Southwest Mississippi Regional Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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