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.

Our Lady Of The Lake Physician Group LLC (NPI 1033494943)

Key Findings

Field	Value
Entity Type	Organization
Organization	Our Lady Of The Lake Physician Group LLC
Address	7777 Hennessy Blvd
City	Baton Rouge
State	LA
ZIP	70808
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 12, 2011

Payer Source	Total Paid
Medicaid	$134M
Medicare	$0

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC is effectively a Medicaid-centric billing entity: there is no Medicare revenue on file while total Medicaid revenue is $134M, so analysts should treat this profile as single-payer (Medicaid) in scale rather than a mixed Medicare/Medicaid operation. The group's NPI was enumerated on 2011-10-12 (~15 years ago), indicating an established presence during the measurement window.

Revenue is highly concentrated in a small set of outpatient E/M codes: the precomputed top-three Medicaid codes (99214, 99213, 99284) account for 50.7% of the provider's total Medicaid revenue. In particular, 99214 accounts for $35.2M (28.5%) and 99213 for $19.7M (15.9%), highlighting that a majority of dollars flow from standard office/outpatient evaluation and management visits.

The code mix signals a large primary-care/ambulatory throughput: 99214 has 718.1K claims and 99213 has 531.8K claims, and preventive visits (99392, 99391, 99393, 99394) and vaccine administration (90471, 90472) also appear among top-revenue codes. High volumes for 90471 (255.6K claims, $3.1M) and 90472 (144.7K claims, $1.9M) indicate systematic immunization activity consistent with broad primary care and well-visit workflows.

The provider also bills materially for emergency and hospital services, implying a footprint beyond only clinic visits: 99284 contributes $7.8M (6.3%) and 99285 $5.3M (4.3%) in Medicaid revenue, while inpatient follow-up and initial hospital care codes such as 99232 ($4.8M, 3.9%), 99233 ($3.9M, 3.1%) and 99223 ($2.7M, 2.2%) are significant contributors. This mix is consistent with a multi-setting practice model that includes ED coverage and inpatient/hospitalist activity alongside ambulatory primary care.

Competitive standing within Louisiana is dominant for many of the group's highest-volume codes: 99214 ranks #1 of 2894 providers in-state (100th percentile; extreme outlier) and 99213 ranks #4 of 3226 (100th percentile; extreme outlier), while multiple preventive and vaccine codes (e.g., 99392, 99391, 99393, 90471, 90472) also rank at or near #1 in-state and are labeled as extreme outliers. Several hospital/critical care codes are similarly elevated—99232 ranks #2 of 753 (100th percentile; extreme outlier), 99239 ranks #1 of 219 (100th percentile; extreme outlier), and 99291 ranks #4 of 145 (98th percentile; notably above typical)—indicating the group is a major statewide Medicaid billing presence across multiple service lines.

Specific codes show different statistical characterizations that are important for benchmarking: many of the high-volume outpatient and preventive codes are explicitly marked as "extreme outlier" in-state, while certain ED codes such as 99285 and 99283 are described as "typical, unremarkable" or only "notably above typical" for their rank/percentile. Analysts should use these qualitative labels (extreme outlier, notably above typical, typical/unremarkable) when comparing utilization rates or constructing peer cohorts rather than inferring numerical deviation measures.

Operational scale is evident from raw claim counts concentrated in a few services: beyond the 718.1K claims for 99214 and 531.8K for 99213, the dataset includes large claim volumes across well visits and hospital codes (for example, 159.5K claims for 99232 and 144.7K claims for 90472). These volumes, combined with the provider's 15-year enumeration, suggest sustained, high-throughput service lines that will materially affect network capacity and Medicaid spend modeling in the region.

Medicaid: Complete Services Breakdown

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

348 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…	718,100	$50	$35.2M
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…	531,750	$40	$19.7M
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.	92,330	$80	$7.8M
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.	42,260	$130	$5.3M
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…	82,000	$60	$5.2M
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…	63,660	$80	$4.9M
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…	159,500	$30	$4.8M
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…	83,730	$60	$4.6M
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…	83,890	$50	$3.9M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	57,110	$60	$3.7M

Showing 1–10 of 348

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

Our Lady Of The Lake Physician Group LLC — 22 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

348 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.	12	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.	26	240	4,030	$130	$2M
T1015	Clinic visit/encounter, all-inclusive	449	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.	42	270	11,250	$90	$1.8M
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	25	30	150	$520	$631.5K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	12	20	600	$90	$381.2K
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.	21	170	1,260	$70	$322.4K
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…	100	130	2,800	$30	$258.7K
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…	1	2,890	980	$40	$246.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	85	330	1,390	$40	$236.3K

Showing 1–10 of 348

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lourdes Physician Group LLC	LA	Family Medicine Physician	$0	$7.9M
Our Lady Of The Lake Physician Group LLC	LA	Family Medicine Physician	$0	$4.6M
Gerald Miletello	LA	Medical Oncology Physician	$1.3M	$0
Bryan Bienvenu	LA	Hematology & Oncology Physician	$964.2K	$0
Christopher Mccanless	LA	Hematology & Oncology Physician	$405.8K	$0
James Morris	LA	Urology Physician	$359.3K	$430
Pavani Ellipeddi	LA	Medical Oncology Physician	$316.8K	$0
Denzil Moraes	LA	Interventional Cardiology Physician	$268.6K	$0
Thomas Lemay	MS	Interventional Cardiology Physician	$248.5K	$0
Robert Easton	LA	Orthopaedic Surgery Physician	$217K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Hospital Inc.	LA	General Acute Care Hospital	$0	$205.8M
Professional Emergency Physician Associates, LLC	LA	Emergency Medicine Physician	$0	$28.4M
Radiology Associates LLC	LA	Diagnostic Radiology Physician	$0	$18.6M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$15.1M
Medlogic,llc	LA	Clinical Medical Laboratory	$0	$13.3M
Baton Rouge Clinic, A Medical Corporation	LA	Internal Medicine Physician	$0	$10.3M
Pathology Group Of Louisiana, A Professional Medical Corporation	LA	Anatomic Pathology & Clinical Pathology Physician	$0	$8.3M
Infusion Partners, LLC	LA	Home Infusion Therapy Pharmacy	$0	$7.3M
Baton Rouge Radiology Group Inc	LA	Diagnostic Radiology Physician	$0	$7.2M
Care One Health LLC	LA	Community/Behavioral Health Agency	$0	$6.4M

Our Lady Of The Lake Physician Group LLC — Billing Profile & Reimbursement Data

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Our Lady Of The Lake Physician Group LLC — 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