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.

Southwest Louisiana Primary Health Care Center, Inc (NPI 1093843187)

Field	Value
Entity Type	Organization
Organization	Southwest Louisiana Primary Health Care Center, Inc
Address	8762 Highway 182
City	Opelousas
State	LA
ZIP	70570
Taxonomy	Community Health Clinic/Center
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	36,860	$100	$3.8M
D0999	N/A	14,330	$130	$1.8M
H2020	Therapeutic behavioral services, per diem	2,520	$100	$249.2K
D0150	Comprehensive oral evaluation – new or established patient	4,670	$1	$4.7K
D0330	N/A	2,940	$1	$2.9K
D2392	Post 2 surface resin‑based composite	90	$10	$610
D2150	Amalgam - two surfaces, primary or permanent	520	$1	$520
D2140	Amalgam - one surface, primary or permanent	160	$1	$330
1036F	N/A	30	$0	$0
1220F	No Summary found for this code	10	$0	$0

Showing 1–10 of 60

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

Southwest Louisiana Primary Health Care Center, Inc — 0 of 8 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

60 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	125	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	149	320	2,270	$90	$637.8K
D0999	N/A	17	170	1,120	$90	$447K
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…	327	2,890	980	$40	$246.8K
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…	277	3,230	1,120	$30	$204.3K
D2392	Post 2 surface resin‑based composite	312	400	470	$90	$135.5K
D1120	Prophylaxis–child	259	610	750	$30	$125.3K
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.	200	270	3,140	$10	$111K
D0120	Periodic oral evaluation - established patient	311	730	990	$30	$104.7K
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…	973	1,170	160	$80	$102.7K

Showing 1–10 of 60

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Louisiana Primary Health Care Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Louisiana Primary Health Care Center, Inc	LA	Federally Qualified Health Center (FQHC)	$0	$8M

Nearby Providers

Other providers in the same ZIP code as Southwest Louisiana Primary Health Care Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opelousas General Hospital Authority	LA	General Acute Care Hospital	$0	$27.2M
Agape Total Care LLC	LA	Personal Care Attendant	$0	$19.1M
Lily Pad Pediatrics, LLC	LA	Rural Health Clinic/Center	$0	$10.7M
Southern Home Care Services, Inc.	LA	Intellectual Disabilities Intermediate Care Facility	$0	$10.6M
Opelousas Emergency Group LLC	LA	Emergency Medicine Physician	$0	$10M
Agape Total Care LLC	LA	Personal Care Attendant	$0	$9M
Louisiana Home Healthcare Partners, LLC	LA	Home Health Agency	$0	$8.9M
Opelousas Dental LLC	LA	General Practice Dentistry	$0	$7.6M
Jodison Prime Care, LLC	LA	Community Based Hospice Care Agency	$0	$6.5M
St Landry Ems	LA	Ambulance	$839.2K	$5.3M

Southwest Louisiana Primary Health Care Center, Inc — Billing Profile & Reimbursement Data

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Southwest Louisiana Primary Health Care Center, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References