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.

Rural Health Medical Program, Inc. (NPI 1992918197)

Field	Value
Entity Type	Organization
Organization	Rural Health Medical Program, Inc.
Address	101 Park Pl
City	Selma
State	AL
ZIP	36701
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 7, 2007

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	37,040	$40	$1.6M
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	130	$0	$0
1159F	No Summary found for this code	250	$0	$0
1170F	The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…	70	$0	$0
3008F	No Summary found for this code	660	$0	$0
3074F	No Summary found for this code	230	$0	$0
3077F	No Summary found for this code	60	$0	$0
3078F	No Summary found for this code	290	$0	$0
3079F	No Summary found for this code	60	$0	$0
3080F	No Summary found for this code	50	$0	$0

Showing 1–10 of 32

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

Rural Health Medical Program, Inc. — 0 of 1 code 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	45	240	6,820	$120	$2.9M
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…	214	1,990	680	$60	$201.7K
99215	The provider sees an established 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…	84	330	140	$240	$197.4K
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…	158	1,990	560	$40	$185.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	84	300	210	$40	$77.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	177	200	170	$50	$60.5K
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…	555	630	60	$80	$45.8K
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,…	53	500	120	$60	$42.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	207	230	240	$1	$32.9K
99203	The provider sees a new 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 provider…	106	660	80	$50	$26.8K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rural Health Medical Program, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keturah Craig	AL	Podiatrist	$36.7K	$0
Tomeko Mcphillips	AL	Primary Podiatric Medicine Podiatrist	$19.9K	$0

Nearby Providers

Other providers in the same ZIP code as Rural Health Medical Program, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry Of Central Alabama, PC	AL	Pediatric Dentistry	$0	$27.3M
Selma Peditrics, P.C.	AL	Pediatrics Physician	$0	$21M
Vaughan Regional Medical Center LLC	AL	Rural Acute Care Hospital	$0	$8.1M
Dallas County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$2.5M
University Of Alabama At Birmingham	AL	Family Medicine Physician	$0	$2.2M
Song Eye Center	AL	Ophthalmic Technician/Technologist	$0	$1.7M
Selma Family Practice Optometry, Inc.	AL	Optometrist	$0	$1.2M
Bio-medical Applications Of Alabama, Inc.	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1M
Bio-medical Applications Of Alabama, Inc.	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$931.6K
Behavioral Health Of Selma, LLC	AL	Psychologist	$0	$930.6K

Rural Health Medical Program, Inc. — Billing Profile & Reimbursement Data

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Rural Health Medical Program, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References