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.

Professional Emergency Medicine Management -- Lake Charles LLC (NPI 1023430766)

Field	Value
Entity Type	Organization
Organization	Professional Emergency Medicine Management -- Lake Charles LLC
Address	1701 Oak Park Blvd
City	Lake Charles
State	LA
ZIP	70601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 15, 2014

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	69,960	$80	$5.7M
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.	59,720	$60	$3.5M
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.	39,630	$30	$1.3M
99291	Critical 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…	1,720	$110	$180.7K
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.	380	$20	$8.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	440	$1	$1.8K
99292	Critical 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…	20	$90	$1.3K
99053	The provider renders overnight services at a 24 hour facility.	7,110	$0	$0
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	430	$0	$0
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	60	$0	$0

Showing 1–10 of 11

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

Professional Emergency Medicine Management -- Lake Charles LLC — 1 of 7 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

11 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.	31	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.	11	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.	35	270	11,250	$90	$1.8M
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.	103	170	1,260	$70	$322.4K
99291	Critical 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…	37	150	340	$120	$204.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	177	280	1,410	$1	$46.9K
99292	Critical 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…	10	10	120	$30	$6.4K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	49	180	130	$1	$1.1K
99053	The provider renders overnight services at a 24 hour facility.	5	20	1,820	$1	$60
G9744	Patient not eligible due to active diagnosis of hypertension	5	70	210	$1	$1

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Professional Emergency Medicine Management -- Lake Charles LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Khristopher Fuselier	LA	Psychiatric/Mental Health Nurse Practitioner	$24.4K	$2.1K

Nearby Providers

Other providers in the same ZIP code as Professional Emergency Medicine Management -- Lake Charles LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Louisiana Hospital Association Inc	LA	General Acute Care Hospital	$0	$42.9M
Swla Center For Health Services	LA	Federally Qualified Health Center (FQHC)	$0	$33.2M
Children's Clinic Of Southwest Louisiana, Inc.	LA	Pediatrics Physician	$0	$24M
Heaven-on-earth Network, Inc.	LA	Personal Care Attendant	$0	$20.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$16.8M
The Pathology Laboratory, Inc.	LA	Clinical Medical Laboratory	$1.6M	$13.7M
All About You Home Healthcare Inc	LA	In Home Supportive Care Agency	$0	$11.3M
Compassionate Covenant Adult Day Health Care Inc.	LA	Adult Day Care Clinic/Center	$0	$10.6M
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$10.2M
Sound Physicians Emergency Medicine Of Louisiana Inc	LA	Emergency Medicine Physician	$0	$9M

Professional Emergency Medicine Management -- Lake Charles LLC — Billing Profile & Reimbursement Data

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Professional Emergency Medicine Management -- Lake Charles LLC — 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