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.

Woodlake Management, LLC (NPI 1053648774)

Field	Value
Entity Type	Organization
Organization	Woodlake Management, LLC
Address	3015 Highway 956
City	Ethel
State	LA
ZIP	70730
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	November 17, 2009

Payer Source	Total Paid
Medicaid	$97.3M
Medicare	$0

Key Findings

WOODLAKE MANAGEMENT, LLC’s billing mix is concentrated in substance use treatment services: its top revenue drivers are H2036 (Alcohol and/or other drug treatment program, per diem), H0011 (acute detoxification residential), and H0015 (intensive outpatient), which together reflect a programmatic mix of per-diem residential care plus structured outpatient treatment rather than primary medical or acute-care services. These codes correspond to high-volume, programmatic care modalities rather than episodic office visits, indicating the facility operates as a substance abuse rehabilitation provider with both residential and intensive outpatient offerings (H2036: 659.3K claims, $117 avg paid/claim, $77.1M revenue).

Revenue concentration in Medicaid is extreme: the provider reports $97.3M in lifetime Medicaid revenue and the precomputed top 3 Medicaid codes account for 96.3% of that total, driven primarily by H2036 (79.3% of Medicaid revenue, $77.1M), H0011 (9.1%, $8.9M), and H0015 (7.9%, $7.7M). This indicates almost all Medicaid dollars flow through a very narrow set of programmatic substance-use codes rather than a broad mix of services.

WOODLAKE is effectively a single-payer Medicaid operation for Medicare/Medicaid comparison purposes: there is no Medicare billing on file for this NPI, and Medicaid constitutes the entirety of the recorded lifetime public-payer revenue ($97.3M). Analysts should treat the entity as Medicaid-dependent when modeling payer mix or network impact, since Medicare activity is absent.

On competitive standing within Louisiana, WOODLAKE is a dominant, high-volume provider for its core services: H2036 ranks #1 of 57 providers in-state at the 100th percentile and is labeled an "extreme outlier," H0015 also ranks #1 of 128 providers (100th percentile; extreme outlier), and H0011 ranks #2 of 37 providers (97th percentile; extreme outlier). These rank/percentile signals indicate the provider operates far above typical state volumes for these programmatic codes and is a leading statewide provider for residential and intensive substance-use services.

The presence and revenue for psychiatric and psychotherapy codes indicate WOODLAKE offers integrated behavioral-health services in addition to substance-use programming: 90837 shows $1.3M revenue (34.4K claims, $38 avg paid/claim) and 90791 shows $337.9K revenue (6.8K claims, $50 avg paid/claim). While these mental-health codes represent a small share of total Medicaid dollars compared with the top per-diem and detox codes, their volumes suggest on-site or closely coordinated psychiatric evaluation and psychotherapy capacity supporting the addiction-treatment programs.

Claim volumes suggest large operational throughput: H2036 has 659.3K claims, H0015 has 90.7K claims, and H0011 has 59.5K claims, which together imply sustained census and frequent per-diem billing rather than sporadic episodic care. For payers and network planners, these claim counts signal that bed capacity and program-day utilization (per-diem billing) are the primary drivers of cost exposure for this provider.

Secondary Medicaid codes show complementary program types and some notable state-level outlier status: H2034 (halfway house) generated $849.7K (23K claims, 0.9% of Medicaid revenue) and H0001 (assessment) generated $672.3K (24K claims, 0.7% of Medicaid revenue) with H0001 ranking #1 of 59 providers in-state (100th percentile; extreme outlier). These smaller revenue lines confirm the provider operates ancillary services such as assessments and transitional housing that support its core residential and outpatient addiction-treatment programs.

The provider’s NPI was enumerated on 2009-11-17 (~17 years ago), indicating an established operation with long tenure in the market; this longevity is consistent with the high-volume statewide standing observed in the data. For contracting or utilization-review teams, the combination of long tenure and extreme outlier volumes suggests mature relationships with Medicaid payers and potential operational scale that merits targeted oversight and negotiated terms specific to per-diem and program-based services.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	659,320	$120	$77.1M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	59,530	$150	$8.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	90,710	$90	$7.7M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	34,440	$40	$1.3M
H2034	Alcohol and/or drug abuse halfway house services, per diem	22,970	$40	$849.7K
H0001	Alcohol and/or drug assessment	24,010	$30	$672.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,760	$50	$337.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	5,200	$30	$161.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	13,700	$10	$109.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,740	$40	$104.2K

Showing 1–10 of 17

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

Woodlake Management, LLC — 6 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	1	60	42,430	$150	$11.3M
H2034	Alcohol and/or drug abuse halfway house services, per diem	7	10	22,970	$60	$3.5M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	2	40	3,520	$150	$1.4M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	420	460	5,030	$80	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	387	400	6,490	$60	$958.2K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1	130	2,290	$90	$928.9K
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…	1,739	3,230	1,120	$30	$204.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3	910	440	$40	$61.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	194	390	180	$50	$49.5K
H0001	Alcohol and/or drug assessment	1	60	210	$30	$31.8K

Showing 1–10 of 17

Woodlake Management, LLC — Billing Profile & Reimbursement Data

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Woodlake Management, 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

Frequently Asked Questions

References