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.

Rick Hoover (NPI 1962493577)

Field	Value
Entity Type	Individual
Organization	Rick Hoover
Address	3300 Ladnier Rd
City	Gautier
State	MS
ZIP	39553
Taxonomy	Family Medicine Physician
NPI Enumerated	November 2, 2005

Payer Source	Total Paid
Medicare	$55.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	990	$50	$46.5K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	100	$90	$9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Rick Hoover — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	11	260	110	$50	$13K
99305	9	100	30	$90	$4.4K

Nearby Providers

Other providers in the same ZIP code as Rick Hoover, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Singing River Services	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.1M
Singing River Health System	MS	Multi-Specialty Clinic/Center	$0	$4.4M
Dreamtree Enterprises, L.L.C.	MS	Community/Behavioral Health Agency	$0	$1.7M
Joshua Ortego	MS	Dermatology Physician	$75.7K	$0
Travis Burdick	MS	Physical Therapist	$68.7K	$0
Rose Clifford	MS	Psychiatric/Mental Health Nurse Practitioner	$37.2K	$0

Rick Hoover — Billing Profile & Reimbursement Data

Sign up for Rick Hoover — Billing Profile & Reimbursement Data policy alerts

Rick Hoover — Billing Profile & Reimbursement Data

Sign up for Rick Hoover — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References