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.

Ville Platte Pediatrics PA (NPI 1114020542)

Field	Value
Entity Type	Organization
Organization	Ville Platte Pediatrics PA
Address	504 Jack Miller Road
City	Ville Platte
State	LA
ZIP	70586
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 7, 2006

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	71,610	$80	$5.7M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	920	$10	$12.9K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	520	$10	$6.8K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	210	$1	$620
G9919	Screening performed and positive and provision of recommendations	10	$30	$390
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	180	$0	$0
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	850	$0	$0
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	850	$0	$0
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	1,050	$0	$0
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	980	$0	$0

Showing 1–10 of 58

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

Ville Platte Pediatrics PA — 0 of 5 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	42	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	301	320	2,270	$90	$637.8K
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…	1,281	2,890	980	$40	$246.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	18	60	250	$80	$220.7K
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…	136	3,230	1,120	$30	$204.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	93	360	780	$50	$141.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	58	420	740	$50	$137.3K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	30	60	160	$120	$99.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	33	490	310	$50	$84.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	59	1,460	440	$20	$64K

Showing 1–10 of 58

Nearby Providers

Other providers in the same ZIP code as Ville Platte Pediatrics PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Truth Faith 2 LLC	LA	In Home Supportive Care Agency	$0	$18.9M
Medical Resources & Guidance	LA	Case Management Agency	$0	$18.6M
True Home Care LLC	LA	Point of Service	$0	$8.5M
Ben's Home Care	LA	Home Health Agency	$0	$6.9M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$6.1M
Clhg-ville Platte LLC	LA	General Acute Care Hospital	$0	$5.8M
New Way Of Southwest La	LA	Community/Behavioral Health Agency	$0	$5.2M
Strides Of Acadiana, LLC	LA	Home Infusion Agency	$0	$4.8M
Ginger Delafosse	LA	Optometrist	$36.4K	$477.4K
Eduardo Alvarez	LA	Internal Medicine Physician	$187.2K	$80.8K

Ville Platte Pediatrics PA — Billing Profile & Reimbursement Data

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Ville Platte Pediatrics PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References