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.

Highland Clinic, A Prof Med Corp (NPI 1053315846)

Highland Clinic, A Prof Med Corp is a multi-specialty clinic/center provider located in Shreveport, Louisiana. This profile covers 0 Medicare and 112 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	Highland Clinic, A Prof Med Corp
Address	1455 E Bert Kouns Loop
City	Shreveport
State	LA
ZIP	71105
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 9, 2005

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

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

112 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…	30,850	$40	$1.1M
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…	26,410	$30	$871.7K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	9,410	$60	$564.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	5,840	$80	$461.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	2,580	$130	$343.5K
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…	3,920	$70	$282.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	6,270	$30	$207K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	3,080	$50	$166.3K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	2,120	$80	$165K
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…	4,160	$30	$141.5K

Showing 1–10 of 112

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

Highland Clinic, A Prof Med Corp — 5 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

112 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	6	40	1,010	$90	$256.2K
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…	89	2,890	980	$40	$246.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	34	80	120	$610	$246.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	86	100	1,440	$30	$239.1K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	8	50	210	$200	$206K
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…	219	3,230	1,120	$30	$204.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	131	160	380	$170	$194.7K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	64	110	560	$50	$173.1K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	15	50	400	$150	$168.8K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	52	90	1,200	$30	$161.3K

Showing 1–10 of 112

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirtan Koticha	LA	Hematology & Oncology Physician	$3.1M	$0
Manish Dhawan	LA	Hematology & Oncology Physician	$870.9K	$24.3K
Jeffrey Weeks	LA	Diagnostic Radiology Physician	$652.9K	$0
Roan Flenniken	LA	Internal Medicine Physician	$544.5K	$0
Russell Stuermann	LA	Interventional Pain Medicine Physician	$444.5K	$0
Meghan Harris	LA	Neurology Physician	$424.3K	$0
John Hinrichsen	LA	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$7.5K	$367.3K
Claude Bundrick	LA	Ophthalmology Physician	$373.5K	$0
Ann Guy	LA	Ophthalmology Physician	$333.3K	$0
Timothy Talbert	LA	Orthopaedic Surgery Physician	$247.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wk Urgent Care Center-pierremont	LA	Family Medicine Physician	$0	$25M
Sincere Client Care Service	LA	Home Health Agency	$0	$13.4M
Christus Health Northern Louisiana	LA	General Acute Care Hospital	$0	$12.6M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$11.2M
Sincere Client Care Service	LA	Home Health Agency	$0	$9.9M
Caring Hands Pediatric Day Health Center, LLC	LA	Medically Fragile Infants and Children Day Care	$0	$7.5M
Ocean Dental Of Louisiana, P.C.	LA	General Practice Dentistry	$0	$6.6M
Autumn Creek Health Solutions Inc	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Russell Fileccia	LA	Cardiovascular Disease Physician	$2.6M	$0
Northern Louisiana Cardiac Services LLC	LA	Ambulatory Surgical Clinic/Center	$2.4M	$0

Highland Clinic, A Prof Med Corp — Billing Profile & Reimbursement Data

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Highland Clinic, A Prof Med Corp — 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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