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.

Morehouse General Hospital (NPI 1003898313)

Morehouse General Hospital is a general acute care hospital provider located in Bastrop, Louisiana. This profile covers 0 Medicare and 166 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	Morehouse General Hospital
Address	323 W Walnut Ave
City	Bastrop
State	LA
ZIP	71220
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

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

166 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	19,240	$130	$2.4M
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.	13,520	$170	$2.3M
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.	3,030	$230	$690.8K
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.	2,170	$240	$527.3K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	9,760	$40	$390.6K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	520	$720	$373.9K
G0378	Hospital observation service, per hour	1,180	$300	$349.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	10,870	$20	$228.3K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	1,100	$190	$209.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	4,130	$50	$194.1K

Showing 1–10 of 166

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

Morehouse General Hospital — 0 of 25 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

166 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	120	270	9,980	$110	$2.6M
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.	129	240	4,030	$130	$2M
T1015	Clinic visit/encounter, all-inclusive	720	810	4,280	$110	$1.8M
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.	90	270	11,250	$90	$1.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	29	30	160	$520	$413.4K
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…	43	90	1,270	$50	$375.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	80	150	1,070	$60	$346.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	99	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	19	80	580	$210	$270.6K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	51	130	2,800	$30	$258.7K

Showing 1–10 of 166

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ruchita Patel	TX	Family Medicine Physician	$453.7K	$0
Ralph Abraham	LA	Diagnostic Radiology Physician	$304.6K	$0
Mahmoud Sheikh-khalil	LA	Cardiovascular Disease Physician	$303.2K	$0
Kristopher Sirmon	LA	Orthopaedic Surgery Physician	$251.5K	$0
Lisa Post	LA	General Practice Physician	$246.2K	$0
Amir Abdelmalik	MD	Diagnostic Radiology Physician	$182.1K	$0
Deirdre Simmons	LA	Family Nurse Practitioner	$158.8K	$1.5K
Gerald Stell	LA	Family Medicine Physician	$150.8K	$0
Bal Bhandari	LA	Specialist	$145.5K	$0
Satish Babu Gundapuneni	NJ	Internal Medicine Physician	$141.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Body & Soul Services Inc	LA	In Home Supportive Care Agency	$0	$11.8M
Broken Wings Recovery Center, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$11.2M
Body & Soul Services Inc	LA	In Home Supportive Care Agency	$0	$10.8M
Quality Long Term Care LLC	LA	Personal Care Attendant	$0	$8.7M
Quality Home Health Long Term Care Inc	LA	Home Health Agency	$0	$7.8M
Good Shepherd Personal Care LLC	LA	In Home Supportive Care Agency	$0	$6.6M
Morehouse Community Medical Centers, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$5.8M
Lakisher Morgan	LA	Family Nurse Practitioner	$2M	$0
George Waterfallen	LA	General Practice Physician	$259.3K	$0
Adam Martin	LA	Specialist	$89.1K	$0

Morehouse General Hospital — Billing Profile & Reimbursement Data

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Morehouse General Hospital — 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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