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.

Calcasieu Cameron Hospital Service District (NPI 1093719932)

Calcasieu Cameron Hospital Service District is a general acute care hospital provider located in Sulphur, Louisiana. This profile covers 0 Medicare and 159 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	Calcasieu Cameron Hospital Service District
Address	701 Cypress St
City	Sulphur
State	LA
ZIP	70663
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 9, 2005

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

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

159 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.	22,100	$170	$3.6M
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.	27,780	$100	$2.8M
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.	4,030	$200	$797.3K
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.	1,760	$370	$652.2K
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.	9,800	$60	$578K
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.	1,670	$190	$315.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	510	$520	$265.2K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	4,000	$60	$220.1K
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.	30,010	$10	$210.1K
99281	The provider sees a patient for the lowest level emergency department visit.	4,420	$50	$203.2K

Showing 1–10 of 159

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

Calcasieu Cameron Hospital Service District — 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

159 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.	93	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.	119	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.	66	270	11,250	$90	$1.8M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	50	60	1,160	$280	$690.6K
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.	32	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	10	30	160	$520	$413.4K
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.	59	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.	23	170	1,260	$70	$322.4K
87653	The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…	19	30	390	$20	$285.9K
G0378	Hospital observation service, per hour	9	80	580	$210	$270.6K

Showing 1–10 of 159

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Mulhearn	LA	Interventional Cardiology Physician	$1.1M	$0
Corey Foster	LA	Cardiovascular Disease Physician	$928.4K	$270
Brett Goodwin	LA	Interventional Cardiology Physician	$816.4K	$90
Jake Lebeau	LA	Interventional Cardiology Physician	$746.3K	$0
Michael Turner	LA	Cardiovascular Disease Physician	$460.7K	$0
Christopher Thompson	LA	Cardiovascular Disease Physician	$332.5K	$0
Fidencio Davalos	LA	Critical Care Medicine (Internal Medicine) Physician	$233.6K	$2.3K
Clifford Courville	LA	Pulmonary Disease Physician	$234.4K	$0
Prasanna Sugathan	LA	Cardiovascular Disease Physician	$222.6K	$0
Geoffrey Collins	LA	Orthopaedic Surgery Physician	$167.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana United Methodist Children & Family Services, Inc	LA	Psychiatric Residential Treatment Facility	$0	$23.7M
Sulphur Pediatric Clinic Medical Corporation	LA	Pediatrics Physician	$0	$19M
Calcasieu Cameron Emergency Physician Group LLC	LA	Emergency Medicine Physician	$0	$4.9M
Brian Stewart	LA	Family Medicine Physician	$253.3K	$0
Jose Gonzales	LA	Family Medicine Physician	$199.5K	$0
Kevin Guilbeaux	LA	Physical Therapist	$180.4K	$0
Tyler Butler	LA	Physical Therapist	$177.4K	$0
Preston Stelly	LA	Physical Therapist	$156.6K	$0
Maureen Lannan	LA	Family Medicine Physician	$142.2K	$0
Ken Thomas	LA	Family Medicine Physician	$109.8K	$0

Calcasieu Cameron Hospital Service District — Billing Profile & Reimbursement Data

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Calcasieu Cameron Hospital Service District — 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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