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 Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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.

St. Thomas Community Health Center, Inc. (NPI 1003185125)

Field	Value
Entity Type	Organization
Organization	St. Thomas Community Health Center, Inc.
Address	1936 Magazine St
City	New Orleans
State	LA
ZIP	70130
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 19, 2011

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	161,170	$130	$21.3M
H2020	Therapeutic behavioral services, per diem	6,990	$80	$531.5K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	140	$30	$4K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	10	$20	$280
1031F	The provider treats a patient who presents with a diagnosis of asthma. The provider interviews the patient or their primary care giver regarding tobacco use and exposure to secondhand smoke within…	2,200	$0	$0
1032F	N/A	350	$0	$0
1033F	A provider determines that a patient who presents with a diagnosis of asthma does not use tobacco and has no exposure to a passive smoking environment. The provider then does not need to discuss…	2,750	$0	$0
1036F	N/A	230	$0	$0
1111F	No Summary found for this code	1,570	$0	$0
1125F	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 experiences pain.	4,240	$0	$0

Showing 1–10 of 106

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Louisiana Distribution

St. Thomas Community Health Center, Inc. — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	71	320	2,270	$90	$637.8K
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…	63	2,890	980	$40	$246.8K
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…	141	190	660	$70	$234.9K
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…	49	3,230	1,120	$30	$204.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	268	360	780	$50	$141.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	223	420	740	$50	$137.3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	79	130	560	$30	$128.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	211	490	310	$50	$84.7K
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…	441	700	180	$60	$77K

Showing 1–10 of 106

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Thomas Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Thomas Community Health Center, Inc	LA	Federally Qualified Health Center (FQHC)	$0	$4.7M
Mehnaz Rahman	LA	Cardiovascular Disease Physician	$18.9K	$0
Nereida Parada	LA	Pulmonary Disease Physician	$11.5K	$0

Nearby Providers

Other providers in the same ZIP code as St. Thomas Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bernard Brown	LA	Student in an Organized Health Care Education/Training Program	$134K	$0
Christopher Trahan	LA	Plastic and Reconstructive Surgery Physician	$90.6K	$0
David Cabiling	LA	Plastic and Reconstructive Surgery Physician	$68K	$0
Mohamed-aly Bakeer	LA	Surgery Physician	$67.5K	$0
Sarosh Zafar	LA	Plastic and Reconstructive Surgery Physician	$43.8K	$0
Shamalon Johnson	LA	Psychiatry Physician	$23.1K	$0
Kati Hayes	LA	Physician Assistant	$4.9K	$0

St. Thomas Community Health Center, Inc. — Billing Profile & Reimbursement Data

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St. Thomas Community Health Center, 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