Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidB & B Of Marion Dba Rayville Recovery
    Ask Trek AI about this page

    B & B Of Marion Dba Rayville Recovery — Billing Profile & Reimbursement Data

    NPI 1093970881 · Rayville, LA · Substance Abuse Rehabilitation Facility

    Customize your policy alerts

    Sign up for B & B Of Marion Dba Rayville Recovery — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    B & B Of Marion Dba Rayville Recovery is a substance abuse rehabilitation facility provider located in Rayville, Louisiana. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationB & B Of Marion Dba Rayville Recovery
    Address307 Hayes St
    CityRayville
    StateLA
    ZIP71269
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedJuly 22, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$45M
    Medicare$0

    Key Findings

    This entity is effectively a single-payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue totals $45M, indicating that all recorded federal program revenue for this provider comes through Medicaid. The lack of Medicare billing suggests services are targeted to Medicaid populations or not billed to Medicare-eligible beneficiaries.

    Revenue is highly concentrated in a small set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, signaling that nearly all billings and collections are tied to a narrow set of substance-abuse treatment services. This concentration implies business and operational dependence on a limited set of service lines.

    The dominant revenue driver is H2036, with 107.6K claims, an average paid per claim of $396, and $42.6M in revenue, representing 94.8% of the provider's Medicaid revenue; H2036 ranks #15 of 57 providers in-state (75th percentile; typical, unremarkable volume for this code). This establishes the facility as primarily a per-diem alcohol and/or other drug treatment program operator at scale within the state, with the bulk of Medicaid receipts tied to per-diem residential-type payments.

    A secondary but materially smaller component is H0011, which records 7.4K claims, a $306 average paid/claim, and $2.3M in revenue (5.0% of Medicaid revenue) and ranks #13 of 37 in-state (67th percentile; typical, unremarkable volume for this code). H0011's presence signals that the provider also bills for acute detoxification (residential inpatient) services, but at a much lower volume and revenue share than the per-diem program.

    H0015 is a marginal contributor with 1K claims, a $98 average paid/claim, and $99K revenue (0.2% of Medicaid revenue) and ranks #89 of 128 in-state (31th percentile; typical, unremarkable volume for this code). This indicates limited intensive outpatient activity relative to its residential/per-diem services and suggests outpatient programming is not a primary revenue center.

    Competitive standing across the state is mixed: the provider ranks in the upper-middle range for its largest Medicaid codes (e.g., H2036 at the 75th percentile and H0011 at the 67th percentile), so it is a meaningful but not dominant player for those services, while its IOP footprint (H0015 at the 31th percentile) is modest. These rank/percentile positions imply steady, typical volumes rather than outlier market dominance or unusually low activity.

    The service mix and code-level revenue profile align with the facility's taxonomy as a Substance Abuse Rehabilitation Facility: heavy reliance on H2036 per-diem payments combined with measurable residential detoxification (H0011) and limited intensive outpatient (H0015) activity suggests the operation is organized primarily around residential treatment capacity with ancillary detox and some outpatient programming. This pattern is consistent with facilities that center operations on inpatient/residential care models.

    The provider has an established operational tenure, with NPI enumerated (registered) on 2008-07-22 (~18 years ago), indicating long-standing participation in Medicaid billing. That tenure coupled with concentrated, consistent Medicaid billing in a small set of substance-use treatment codes suggests operational stability in its chosen service lines rather than recent entry or abrupt specialty shifts.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2036Alcohol and/or other drug treatment program, per diem107,630$400$42.6M
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem7,380$310$2.3M
    H0015Alcohol 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…1,010$100$99K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Louisiana median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem156042,430$150$11.3M
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem13403,520$150$1.4M
    H0015Alcohol 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…891302,290$90$928.9K

    Nearby Providers

    Other providers in the same ZIP code as B & B Of Marion Dba Rayville Recovery, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Addiction Recovery Center, IncLASubstance Abuse Rehabilitation Facility$0$19.5M
    Richland Parish Hospital Service District No 1-bLARural Health Clinic/Center$0$14.5M
    Second Chances Recovery Center LLCLASubstance Abuse Rehabilitation Facility$0$13.9M
    Richland Parish Hospital Service District No 1-bLAGeneral Acute Care Hospital$0$6.4M
    Rayville Family ClinicLARural Health Clinic/Center$0$4.9M
    Air Evac Ems IncLAAir Ambulance$501.6K$2.7M
    Ralph AbrahamLAFamily Medicine Physician$578.7K$0
    Kyle BruyninckxLAInternal Medicine Physician$403.4K$11K
    Albert KerrLAFamily Medicine Physician$66.3K$277K
    Angela GillLAFamily Nurse Practitioner$132.2K$4.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    B & B Of Marion Dba Rayville Recovery — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana