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.

Hospital Service District No. 1 Of The Parish Of St. Mary (NPI 1043218365)

Hospital Service District No. 1 Of The Parish Of St. Mary is a critical access hospital provider located in Franklin, Louisiana. This profile covers 0 Medicare and 84 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	Hospital Service District No. 1 Of The Parish Of St. Mary
Address	1097 Northwest Blvd
City	Franklin
State	LA
ZIP	70538
Taxonomy	Critical Access Hospital
NPI Enumerated	July 11, 2005

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

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

84 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.	23,380	$250	$5.8M
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.	8,450	$270	$2.3M
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.	9,160	$160	$1.4M
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.	3,660	$270	$985.3K
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…	10,790	$50	$528.7K
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…	2,860	$70	$191.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	4,830	$40	$169.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	16,140	$10	$113K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1,900	$60	$104.5K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	5,020	$10	$55.2K

Showing 1–10 of 84

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

Hospital Service District No. 1 Of The Parish Of St. Mary — 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

84 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.	145	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.	122	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.	76	270	11,250	$90	$1.8M
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.	96	100	760	$100	$441.2K
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.	118	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.	26	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	66	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…	65	130	2,800	$30	$258.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	44	100	1,440	$30	$239.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	405	410	1,990	$40	$231.2K

Showing 1–10 of 84

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Greber	LA	Adult Reconstructive Orthopaedic Surgery Physician	$305.9K	$0
Roland Degeyter	LA	Internal Medicine Physician	$184.9K	$1.2K
Patrick Ellender	LA	Orthopaedic Surgery Physician	$162K	$0
Steven Mcpherson	LA	Internal Medicine Physician	$155.9K	$0
David Elias	LA	Orthopaedic Surgery Physician	$129.4K	$0
John Hildenbrand	LA	Orthopaedic Hand Surgery Physician	$118.4K	$0
Derek Haight	UT	Pain Medicine (Anesthesiology) Physician	$114.9K	$0
Jason Higgins	LA	Orthopaedic Surgery Physician	$106.3K	$0
Craig Gauthier	LA	Obstetrics & Gynecology Physician	$8.6K	$79.3K
Allen Borne	LA	Orthopaedic Hand Surgery Physician	$76.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Community Services, LLC	LA	Developmentally Disabled Services Day Training Agency	$0	$11M
Teche Action Board Inc	LA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Safecare, LLC	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.7M
Eden Etcheverria	LA	Physician Assistant	$95.9K	$0
Kira Ridgley	LA	Physician Assistant	$53.2K	$0
Gary Wiltz	LA	Internal Medicine Physician	$5.8K	$0

Hospital Service District No. 1 Of The Parish Of St. Mary — 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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