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    OpenPayerNPI Medicare & MedicaidCross Lake Emergency Group, LLC
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    Cross Lake Emergency Group, LLC — Billing Profile & Reimbursement Data

    NPI 1013497114 · Shreveport, LA · Emergency Medicine Physician

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    Cross Lake Emergency Group, LLC is a emergency medicine physician provider located in Shreveport, Louisiana. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCross Lake Emergency Group, LLC
    Address2600 Greenwood Rd
    CityShreveport
    StateLA
    ZIP71103
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedAugust 17, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$29.1M
    Medicare$0

    Key Findings

    CROSS LAKE EMERGENCY GROUP, LLC reports no Medicare billing on file and $29.1M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer by scale with Medicaid as the primary revenue source. This concentration means analyses of utilization and competitive positioning should focus on Medicaid claim patterns rather than Medicare comparisons. The provider’s NPI was enumerated on 2018-08-17 (~8 years ago), indicating several years of active billing history to contextualize its current volumes.

    Revenue is extremely concentrated in emergency department evaluation and management codes: the precomputed top-3 Medicaid codes account for 96.5% of the provider’s total Medicaid revenue. In particular 99284 contributes $13.1M (45.1% of Medicaid revenue), 99285 contributes $10.9M (37.6%), and 99283 contributes $4M (13.8%), confirming that a very small set of ED E/M services drive nearly all Medicaid receipts. This concentration creates earnings and utilization sensitivity to reimbursement or policy changes affecting those specific codes.

    The code mix (dominance of 99284, 99285, 99283) indicates the operation functions primarily as an emergency department service line handling moderate to high complexity ED visits. The presence of 99291 (critical care) and 93010 (ECG interpretation) in the top codes further signals capacity to deliver higher-acuity and diagnostic support within the ED workflow, although those codes represent much smaller shares of revenue. Together, these codes describe an ED-centric clinical model rather than a broad outpatient or procedural practice.

    CROSS LAKE is a major statewide participant for high-acuity ED visits: 99284 registers 184.9K claims, $71 avg paid/claim, $13.1M revenue and ranks #2 of 266 providers in-state (100th percentile; extreme outlier), and 99285 shows 142.2K claims, $77 avg paid/claim, $10.9M revenue and ranks #2 of 237 providers in-state (100th percentile; extreme outlier). Those rank and percentile labels identify the group as far above typical state volume for both moderate- and high-complexity ED E/M services, implying strong market share or large aggregated ED coverage relative to peers. Analysts should treat these volumes as indicators of dominant in-state ED activity for those specific service lines.

    99283 is also material but comparatively smaller: 103.2K claims, $39 avg paid/claim, $4M revenue and ranks #9 of 266 providers in-state (97th percentile; notably above typical state volume). This suggests the provider also manages a substantial number of lower-complexity ED visits at levels well above most peers, reinforcing that the organization captures a broad acuity mix within emergency services. The combined ranking profile (two extreme outliers and one notable high-volume code) points to unusually high overall ED throughput compared with in-state competitors.

    Higher-acuity adjunct codes appear but contribute modestly to Medicaid revenue: 99291 (critical care) is 6.7K claims, $100 avg paid/claim, $669.3K revenue (2.3% of Medicaid revenue) and ranks #10 of 145 providers in-state (94th percentile; typical, unremarkable volume), while 93010 (ECG) is 85.3K claims, $4 avg paid/claim, $341.2K revenue (1.2% of Medicaid revenue) and ranks #6 of 277 providers in-state (98th percentile; notably above typical state volume). These patterns indicate availability of critical care-level billing and frequent ECG interpretation as part of ED operations, but neither is a primary revenue driver compared with E/M codes.

    Low-volume procedure billing is negligible in the Medicaid ledger: code 10061 shows 12 claims, $118 avg paid/claim, $1.4K revenue (0.0% of Medicaid revenue) and ranks #5 of 5 providers in-state (0th percentile; typical, unremarkable volume). This supports the interpretation that operative or minor surgical interventions are not a meaningful part of the provider’s Medicaid revenue mix, and the practice’s financial and utilization profile is concentrated on E/M services. For payer negotiations or utilization management, attention should be on ED E/M coding patterns rather than procedural care.

    The provider’s ~8-year enumeration combined with extremely high state ranks on 99284 and 99285 suggests an established emergency services presence with sustained high Medicaid volumes. Given the overwhelming share of revenue from a narrow set of ED codes (96.5% from the top three), stakeholders assessing network adequacy, risk adjustment, or contract value should prioritize monitoring of ED throughput, acuity mix, and coding consistency for those specific codes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.184,860$70$13.1M
    99285The 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.142,160$80$10.9M
    99283The 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.103,170$40$4M
    99291Critical 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…6,690$100$669.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.85,290$1$341.2K
    10061The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…10$120$1.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.22709,980$110$2.6M
    99285The 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.22404,030$130$2M
    99283The 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.927011,250$90$1.8M
    99291Critical 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…10150340$120$204.6K
    10061The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…51040$90$96.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.62801,410$1$46.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cross Lake Emergency Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brandon SmithLAEmergency Medicine Physician$119.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Cross Lake Emergency Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lsu Health Sciences Center Shreveport Faculty Group PracticeLAFamily Medicine Physician$0$235.7M
    University Health Shreveport LLCLAGeneral Acute Care Hospital$0$98.1M
    Willis Knighton Medical Center, Inc.LAGeneral Acute Care Hospital$0$76.1M
    Metropolitan Circles, LLCLADevelopmental Disabilities Clinic/Center$0$13.7M
    Louisiana State University Health Sciences CenterLAClinical Medical Laboratory$672K$11.2M
    Balentine Ambulance Service Inc.LAAmbulance$2.4M$6.2M
    Brfhh Shreveport LLCLAGeneral Acute Care Hospital$0$6.3M
    Red River Consultants, IncLADiagnostic Radiology Physician$0$4.9M
    Shreveport Endoscopy Center, A Medical CorporationLAEndoscopy Clinic/Center$2.2M$495.4K
    Biomedical Research Foundation Of Northwest LouisianaLARadiology Clinic/Center$650.1K$927.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Louisiana Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Cross Lake Emergency Group, LLC — 4 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana