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.

Medical Foundation Of Central Mississippi, Inc. (NPI 1992774814)

Medical Foundation Of Central Mississippi, Inc. is a internal medicine physician provider located in Jackson, Mississippi. This profile covers 0 Medicare and 154 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	Medical Foundation Of Central Mississippi, Inc.
Address	1200 N State St Ste 270
City	Jackson
State	MS
ZIP	39202
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

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

154 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	104,530	$20	$2.5M
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…	49,180	$30	$1.2M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	17,900	$50	$841.4K
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…	31,850	$20	$732.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	28,960	$20	$463.3K
93306	The 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…	12,810	$20	$230.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	8,950	$20	$205.8K
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…	11,550	$20	$184.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3,200	$50	$166.6K
99204	The provider sees a new 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 provider…	5,010	$30	$145.3K

Showing 1–10 of 154

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

Medical Foundation Of Central Mississippi, Inc. — 10 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

154 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…	58	1,910	930	$60	$278.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	188	340	4,380	$20	$210.2K
93306	The 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…	3	130	780	$90	$209.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	41	70	200	$180	$200.4K
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…	15	1,670	720	$50	$196.4K
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…	98	370	4,870	$20	$189.2K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	44	50	260	$260	$179.1K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	20	30	1,120	$80	$168.8K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	29	30	420	$210	$165.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	36	80	1,700	$40	$164.2K

Showing 1–10 of 154

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Harris	MS	Family Medicine Physician	$360K	$0
Mark Ellis	MN	Specialist	$337.9K	$0
David Flemming	MS	Internal Medicine Physician	$317.2K	$0
Justin Lohmeier	MS	Diagnostic Radiology Physician	$311.3K	$0
Casey Taylor	MS	Diagnostic Radiology Physician	$283.6K	$0
Lucius Sams	MS	Internal Medicine Physician	$276.6K	$0
Jeffrey Morris	MS	Internal Medicine Physician	$267.1K	$0
Ayesha Khalid	MS	Infectious Disease Physician	$266K	$0
Jeffrey Leduff	MS	Internal Medicine Physician	$256.4K	$0
Eric Mcvey	MS	Infectious Disease Physician	$249.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi Behavioral Health Services, LLC	MS	Community/Behavioral Health Agency	$0	$72.8M
Mississippi Baptist Medical Center, Inc.	MS	General Acute Care Hospital	$0	$42M
Mississippi Children's Home Society - Mypac	MS	Mental Illness Community Based Residential Treatment Facility	$0	$26.5M
James Brown	MS	Retina Specialist (Ophthalmology) Physician	$5.4M	$8.9K
Tammy Young	MS	Medical Oncology Physician	$5.1M	$0
Michael Borne	MS	Retina Specialist (Ophthalmology) Physician	$4.5M	$1.8K
Mississippi Physicians, LLP	MS	Emergency Medicine Physician	$0	$4.2M
Justin Baker	MS	Hematology & Oncology Physician	$4.1M	$0
Mae Physicians Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$3.4M	$114.8K
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0

Medical Foundation Of Central Mississippi, Inc. — 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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