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.

Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222)

Key Findings

Field	Value
Entity Type	Organization
Organization	Lsu Health Sciences Center Shreveport Faculty Group Practice
Address	1541 Kings Hwy
City	Shreveport
State	LA
ZIP	71103
Taxonomy	Family Medicine Physician
NPI Enumerated	January 19, 2016

Payer Source	Total Paid
Medicaid	$235.7M
Medicare	$0

LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE is effectively a single-payer Medicaid billing entity — there is no Medicare revenue on file while Medicaid revenue totals $235.7M, indicating the provider’s operations and scale are concentrated in Medicaid rather than split across traditional Medicare/Medicaid payer mix. This single-payer footprint should shape contract and network strategy discussions.

Revenue for this provider is highly concentrated in a small set of evaluation & management and inpatient/ED codes: the top three Medicaid codes by revenue account for 50.7% of total Medicaid revenue. That concentration implies reliance on a few high-volume service lines for the majority of reimbursement and creates sensitivity to policy or reimbursement changes affecting those codes.

Primary revenue drivers are office and outpatient E/M visits and hospital/ED care: 99214 ($41.6M, 23.4%), 99213 ($34.6M, 19.5%), and 99284 ($13.8M, 7.8%) together make up the precomputed 50.7% share. This mix suggests the organization delivers large volumes of established-patient primary care visits alongside substantial emergency department activity, reflecting a combined ambulatory and acute-care service footprint.

The provider is a statewide volume leader for many high-revenue codes. Examples include top statewide ranks such as #1 for 99232, 99238, 99223 and #3 for 99214 and 99213; multiple codes are flagged as "extreme outlier" or in the 100th percentile. These ranks indicate the group is a dominant in-state provider for inpatient E/M, discharge management, and high-volume ambulatory visits.

Clinical breadth extends beyond primary care into acute, perinatal, and procedural services. High-revenue codes include emergency care (99284, 99285), critical care (99291), obstetric delivery services (59409) and neuraxial anesthesia for delivery (01967), plus surgical pathology (88305) and echocardiography (93306). The variety of high-ranking codes suggests a large academic or hospital-affiliated faculty practice delivering both routine outpatient care and complex inpatient/operative services.

Several high-volume codes are labeled as extreme outliers in-state, which signals unusually large scale rather than typical provider volumes. Codes such as 99214, 99213, 99232, 99204, 99233 and 59409 are all described as "extreme outlier" or 100th percentile, reinforcing that this provider operates at markedly higher Medicaid volumes than typical Louisiana peers for those services.

Tenure is long enough to be established: the NPI was enumerated on 2016-01-19 (~10 years ago), indicating this billing entity has been active in Medicaid for about a decade and built sustained volume over that period. This tenure supports the observed high-volume, multi-service profile as a stable operating pattern rather than a short-term spike.

Operationally, the combination of very large counts of outpatient E/M claims (e.g., large numbers for 99213 and 99214) alongside substantial inpatient/ED and critical care codes implies integrated care delivery across ambulatory clinics, emergency departments, and inpatient units. For payer negotiations and utilization management, the provider should be treated as a system-level partner managing both high primary care throughput and significant acute care demand.

Medicaid: Complete Services Breakdown

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

577 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	483,210	$90	$41.6M
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…	558,620	$60	$34.6M
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.	130,070	$110	$13.8M
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…	212,430	$50	$10.2M
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…	72,030	$130	$9M
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…	116,650	$70	$8.2M
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.	56,970	$130	$7.2M
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…	42,210	$130	$5.5M
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…	36,710	$130	$4.6M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	32,570	$140	$4.4M

Showing 1–10 of 577

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

Lsu Health Sciences Center Shreveport Faculty Group Practice — 20 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

577 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.	6	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.	15	240	4,030	$130	$2M
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.	46	270	11,250	$90	$1.8M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3	20	1,890	$280	$1M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	6	10	630	$270	$927K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	3	20	5,680	$100	$863.1K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	7	30	2,260	$110	$460.1K
D2930	N/A	15	140	1,000	$140	$453.6K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	3	40	330	$240	$447.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7	100	760	$100	$441.2K

Showing 1–10 of 577

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Clinic Foundation	LA	General Acute Care Hospital	$0	$166.7M
Ochsner Clinic LLC	LA	General Practice Physician	$0	$152.6M
University Health Shreveport LLC	LA	General Acute Care Hospital	$0	$98.1M
Brfhh Monroe LLC	LA	General Acute Care Hospital	$0	$56.8M
Affinity Health Group, LLC	LA	Family Medicine Physician	$0	$34.6M
Ochsner Clinic LLC	LA	Internal Medicine Physician	$0	$32.2M
Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC	LA	Women's Hospital	$0	$15M
Brfhh Monroe LLC	LA	Internal Medicine Physician	$0	$8.9M
Brfhh Shreveport LLC	LA	General Acute Care Hospital	$0	$6.3M
Acme Medical Supplies, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$5.3M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Willis Knighton Medical Center, Inc.	LA	General Acute Care Hospital	$0	$76.1M
Cross Lake Emergency Group, LLC	LA	Emergency Medicine Physician	$0	$29.1M
Metropolitan Circles, LLC	LA	Developmental Disabilities Clinic/Center	$0	$13.7M
Louisiana State University Health Sciences Center	LA	Clinical Medical Laboratory	$672K	$11.2M
Balentine Ambulance Service Inc.	LA	Ambulance	$2.4M	$6.2M
Red River Consultants, Inc	LA	Diagnostic Radiology Physician	$0	$4.9M
Shreveport Endoscopy Center, A Medical Corporation	LA	Endoscopy Clinic/Center	$2.2M	$495.4K
Biomedical Research Foundation Of Northwest Louisiana	LA	Radiology Clinic/Center	$650.1K	$927.6K
Huan Le	LA	Internal Medicine Physician	$630.9K	$138.9K
Joseph Jones	LA	Internal Medicine Physician	$313K	$378.5K

Lsu Health Sciences Center Shreveport Faculty Group Practice — Billing Profile & Reimbursement Data

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Lsu Health Sciences Center Shreveport Faculty Group Practice — Billing Profile & Reimbursement Data

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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