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 Of The Parish Of St. Bernard, State Of Louis (NPI 1083903744)

Key Findings

Field	Value
Entity Type	Organization
Organization	Hospital Service District Of The Parish Of St. Bernard, State Of Louis
Address	8000 W Judge Perez Dr
City	Chalmette
State	LA
ZIP	70043
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	April 4, 2011

Payer Source	Total Paid
Medicaid	$28.9M
Medicare	$0

This provider has no Medicare billing on file and is effectively a Medicaid-centric hospital: lifetime Medicaid revenue on file is $28.9M and there is no recorded Medicare revenue, indicating Medicaid is the dominant — and for available data the sole — payer driving reported inpatient/ED activity. The NPI was enumerated on 2011-04-04 (~15 years ago), so the hospital is an established, multi-year operator in its market.

Revenue is highly concentrated in a small set of emergency department evaluation-and-management codes: the top three Medicaid codes (99284, 99285, 99283) account for 72.8% of the provider's total Medicaid revenue. In particular, 99284 alone represents $10.8M (38.5% of Medicaid revenue), while 99285 and 99283 account for $4.9M (17.5%) and $4.7M (16.7%) respectively, highlighting an ED-driven revenue base.

The code mix — dominated by 99284/99285/99283 — and substantial revenues for IV administration and infusion codes (for example 96374: $1.5M, 5.2% of Medicaid revenue; 96365: $305K, 1.1%) suggest the hospital operates with a high-volume emergency department that frequently delivers rapid IV therapies and short-duration infusions. This pattern is consistent with a rural acute care hospital functioning as a local acute/urgent care and stabilization site rather than a specialty referral center.

Competitive standing for the core ED services is upper-middle among in-state peers but not dominant: 99284 ranks #46 of 266 providers in-state (83th percentile; typical, unremarkable volume for this code), 99285 ranks #73 of 237 (69th percentile; typical, unremarkable volume), and 99283 ranks #60 of 266 (78th percentile; typical, unremarkable volume). These ranks indicate meaningful ED throughput relative to peers but stop short of positioning the hospital as a statewide leader.

Diagnostic and laboratory services are a substantive secondary revenue stream supporting the ED-focused model: high-volume lab/imaging codes include 87502 (influenza multiplex) with $884.8K (3.2% of Medicaid revenue; 93th percentile), 87635 (SARS–CoV-2 testing) with $602.8K (2.2%; 94th percentile), and 71045 (chest radiograph) with $577.3K (2.1%; 81th percentile). Large claim counts for panels and blood tests (80053, 85025) further indicate on-site lab capacity that complements emergency evaluations.

There are clear statistical outliers in specific procedural volumes that point to concentrated service strengths: 96372 (intramuscular/subcutaneous injection) is at the 97th percentile and labeled notably above typical state volume, and 81025 (urine pregnancy test) is at the 96th percentile and also labeled notably above typical state volume. These elevated volumes are consistent with high ED throughput and routine point-of-care screening practices used in acute care settings.

Because 72.8% of Medicaid revenue is concentrated in three ED E/M codes, the provider's financial performance — at least as reflected in Medicaid data — is sensitive to changes in emergency-department visit volumes or reimbursements. Analysts should treat the hospital as reliant on stable ED demand and on-site diagnostic/IV service lines when evaluating competitive risk or payer-contracting strategies.

Medicaid: Complete Services Breakdown

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

151 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	48,470	$220	$10.8M
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.	17,460	$280	$4.9M
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.	29,780	$160	$4.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12,740	$110	$1.5M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	14,750	$60	$884.8K
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…	17,450	$50	$837.6K
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…	16,740	$40	$602.8K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	13,750	$40	$577.3K
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…	14,400	$30	$403.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,910	$110	$305K

Showing 1–10 of 151

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 Of The Parish Of St. Bernard, State Of Louis — 2 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

151 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.	46	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.	73	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.	60	270	11,250	$90	$1.8M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	31	100	620	$40	$560K
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.	64	100	760	$100	$441.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	57	90	1,270	$50	$375.3K
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.	49	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.	58	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	36	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…	33	130	2,800	$30	$258.7K

Showing 1–10 of 151

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$9.2M
Divine Miracles, Inc.	LA	In Home Supportive Care Agency	$0	$8.1M
St. Bernard Emergency Group, LLC	LA	Emergency Medicine Physician	$0	$6.7M
Inspire Care LLC	LA	Community/Behavioral Health Agency	$0	$5.6M
Chalmette Dental Associates, LLC	LA	Dentist	$0	$5M
Shermese Ceaser	LA	Family Nurse Practitioner	$113.6K	$0
Arzu Hatipoglu	LA	Nephrology Physician	$89.3K	$0
Carol Redillas	LA	Neurology Physician	$69K	$0

Hospital Service District Of The Parish Of St. Bernard, State Of Louis — 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

Nearby Providers

Frequently Asked Questions

References