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.

Jennings American Legion Hospital, Inc. (NPI 1114921160)

Jennings American Legion Hospital, Inc. is a general acute care hospital provider located in Jennings, Louisiana. This profile covers 0 Medicare and 130 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	Jennings American Legion Hospital, Inc.
Address	1634 Elton Rd
City	Jennings
State	LA
ZIP	70546
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 8, 2005

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

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

130 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	14,880	$100	$1.4M
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.	11,250	$80	$877.3K
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.	2,980	$240	$707.2K
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.	870	$170	$150K
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.	15,250	$10	$122K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	2,920	$40	$116.8K
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…	2,760	$40	$113K
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…	5,110	$20	$102.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,040	$50	$102K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	13,760	$10	$82.5K

Showing 1–10 of 130

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

Jennings American Legion Hospital, Inc. — 1 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

130 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.	207	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.	131	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.	112	270	11,250	$90	$1.8M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	30	30	1,340	$60	$499.3K
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.	101	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.	22	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,…	11	30	390	$20	$285.9K
G0378	Hospital observation service, per hour	74	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…	57	130	2,800	$30	$258.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	43	100	1,440	$30	$239.1K

Showing 1–10 of 130

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennings American Legion Hospital Inc.	LA	Rural Health Clinic/Center	$0	$5M
Ochsner American Legion Hospital LLC	LA	General Acute Care Hospital	$0	$4.6M
Jennings American Legion Hospital, Inc.	LA	Rural Health Clinic/Center	$0	$4.6M
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Ankur Lodha	LA	Interventional Cardiology Physician	$1.2M	$0
Fernando Ruiz	LA	Interventional Cardiology Physician	$871.4K	$0
Siby Ayalloore	LA	Advanced Heart Failure and Transplant Cardiology Physician	$790.5K	$0
Bose Cheeran	LA	Interventional Cardiology Physician	$788.1K	$0
Marc Saad	LA	Clinical Cardiac Electrophysiology Physician	$724.1K	$0
Arvind Durvasan	AZ	Nephrology Physician	$639.3K	$8.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shane Fontenot	LA	Optometrist	$69.5K	$896.9K
Lam Nguyen	LA	Cardiovascular Disease Physician	$497.4K	$0
Brian Wilder	LA	Internal Medicine Physician	$430.1K	$11K
Jillian Franklin	LA	Optometrist	$78.9K	$172.3K
Patrick Griffith	LA	Internal Medicine Physician	$243.6K	$0
Michael Holland	LA	Specialist	$156.2K	$6.7K
Charles Ray	LA	Internal Medicine Physician	$135.1K	$12.1K
Brad Daigle	LA	Physical Therapist	$126K	$0
Eric Lambousy	LA	Physical Therapist	$118K	$0
Aldes Rozas	LA	Diagnostic Radiology Physician	$107.9K	$0

Jennings American Legion Hospital, Inc. — Billing Profile & Reimbursement Data

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Jennings American Legion Hospital, 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

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