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.

King's Daughters Medical Center (NPI 1972503464)

Field	Value
Entity Type	Organization
Organization	King's Daughters Medical Center
Address	427 Highway 51 N
City	Brookhaven
State	MS
ZIP	39601
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 26, 2005

Payer Source	Total Paid
Medicaid	$32.2M
Medicare	$0

Key Findings

KING'S DAUGHTERS MEDICAL CENTER is effectively a single‑payer facility in the dataset: it has no Medicare billing on file and reports $32.2M in Medicaid revenue, indicating its visible public revenue footprint in these claims is dominated by Medicaid. Analysts should treat this profile as Medicaid-centric when evaluating payer exposure and network impact.

Revenue concentration is meaningful: the top three Medicaid codes account for 47.2% of the provider's total Medicaid revenue, signaling heavy reliance on a small set of services to generate nearly half of reported Medicaid income. This concentration increases financial sensitivity to utilization or reimbursement changes for those high‑revenue codes.

Emergency department E/M visits are the primary revenue drivers: codes 99284 ($5.5M, 21.1%), 99283 ($4.1M, 15.8%), and 99285 ($2.7M, 10.3%) together represent the top three codes and much of the provider’s Medicaid revenue. This code mix indicates the hospital operates a high-volume ED with a predominance of low to moderate complexity E/M visits and a substantial share of higher-complexity emergency care.

Competitive standing in-state is strong for ED volume: the provider ranks in the 90th–95th percentiles for its top ED codes (99284 rank #13 of 227, 99283 rank #11 of 223, 99285 rank #19 of 175), which positions it as a major regional ED contributor rather than a marginal participant. These high percentiles indicate above-typical state volume for core emergency services.

Service-line breadth beyond the ED includes observation, infusion/infusion-related services, and ambulatory therapy: notable Medicaid revenue items include G0378 (hospital observation service, $1.3M), multiple infusion/IV administration codes (96374, 96365, 96361, 96360), and therapy codes such as 97110 and 97530. This mix suggests a full-service acute hospital with observation capability, substantial infusion and procedural throughput, and outpatient rehabilitation activity.

There are several services where the provider reports notably above‑typical state volume: 97110 (therapeutic exercise) ranks in the 96th percentile and 59025 (fetal nonstress testing) is in the 92nd percentile, while 87804 (influenza rapid assay) sits in the 97th percentile. These 'notably above typical' labels point to comparatively strong volume in physical therapy, obstetric monitoring, and point‑of‑care testing relative to peers.

Most ancillary and procedural codes reflect typical in‑state volumes rather than outliers: many high‑revenue line items such as CT abdomen/pelvis 74177, tympanostomy 69436, ambulance services A0427/A0425, and cardiac ultrasound 93306 fall in middle percentiles (roughly 59th–87th), indicating steady, expected utilization across imaging, ENT, ambulance transport, and cardiology diagnostics. This pattern is consistent with a general acute care hospital serving a broad community case mix.

The provider has long tenure in the NPI registry, with enumeration dated 2005-07-26 (~21 years ago), which supports interpretation of its claims profile as coming from an established facility rather than a recent entrant; historical relationships with state Medicaid programs are likely well‑established.

Medicaid: Complete Services Breakdown

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

252 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The 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.	43,140	$130	$5.5M
99283	The 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.	44,150	$90	$4.1M
99285	The 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.	17,700	$150	$2.7M
G0378	Hospital observation service, per hour	2,940	$450	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,490	$100	$1.2M
96365	The 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.	10,570	$100	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	34,600	$30	$968.7K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	8,650	$110	$960.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	670	$1,270	$851.6K
A0425	Ground mileage, per statute mile	12,140	$70	$825.7K

Showing 1–10 of 252

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

King's Daughters Medical Center — 3 of 25 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

252 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	15	50	4,400	$160	$1.9M
G0378	Hospital observation service, per hour	30	70	1,480	$370	$1.4M
99284	The 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.	13	230	3,260	$120	$1.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	14	40	2,590	$160	$1.4M
99283	The 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.	11	220	5,690	$100	$1.2M
99285	The 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.	19	180	3,000	$140	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	23	30	70	$1,790	$891.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	23	90	4,540	$90	$665.4K
A0425	Ground mileage, per statute mile	18	50	5,330	$30	$618.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	14	50	300	$510	$483.3K

Showing 1–10 of 252

Related Providers

Other providers that share a Tax Identification Number (TIN) with King's Daughters Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashland Hospital Corporation	KY	General Acute Care Hospital	$0	$222.9M
Kdmc Physician Clinics LLC	MS	Multi-Specialty Clinic/Center	$0	$9.2M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Reuben Stone	MS	Cardiovascular Disease Physician	$1.1M	$0
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Donny Stokes	MS	Cardiovascular Disease Physician	$881.8K	$0
Brett Bennett	MS	Interventional Cardiology Physician	$779K	$0
Robert Fried	KY	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$719.4K	$0
James Bennett	MS	Interventional Cardiology Physician	$661.1K	$0
Terry Justice	KY	Radiation Oncology Physician	$597.6K	$0

Nearby Providers

Other providers in the same ZIP code as King's Daughters Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid South Home Care, LLC	MS	In Home Supportive Care Agency	$0	$10.8M
Precision Healthcare Staffing LLC	MS	Homemaker	$0	$4.7M
Joey Sessums	MS	Pediatric Dentistry	$0	$3.9M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M
Brookhaven Ob-gyn Associates, PA	MS	Specialist	$0	$2.5M
Therapy Nook PC	MS	Speech-Language Pathologist	$0	$2.2M
Passionate Care Home Health,llc	MS	Home Health Agency	$0	$1.6M
Lincare Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Fresenius Medical Care East Mccomb Dialysis, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Bridging Community With Healthcare, LLC	MS	Primary Care Clinic/Center	$0	$1.2M

King's Daughters Medical Center — Billing Profile & Reimbursement Data

Sign up for King's Daughters Medical Center — Billing Profile & Reimbursement Data policy alerts

King's Daughters Medical Center — Billing Profile & Reimbursement Data

Sign up for King's Daughters Medical Center — Billing Profile & Reimbursement Data policy alerts

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