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.

Odyssey House Louisiana, Inc (NPI 1134788797)

Field	Value
Entity Type	Organization
Organization	Odyssey House Louisiana, Inc
Address	2700 S. Broad St
City	New Orleans
State	LA
ZIP	70125
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	June 7, 2019

Payer Source	Total Paid
Medicaid	$38.5M
Medicare	$0

Key Findings

ODYSSEY HOUSE LOUISIANA, INC is classified as a Substance Abuse Rehabilitation Facility and has no Medicare billing on file, with Total Medicare revenue listed as none. Its financial footprint is therefore concentrated in Medicaid, which accounts for Total Medicaid revenue of $38.5M, making Medicaid effectively the sole payer driving reported revenues for this provider.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the single code H2036 is reported with $38.5M revenue (100.0% of the provider's Medicaid revenue). H2036 shows 381K claims at an average paid/claim of $101, indicating almost all Medicaid dollars flow through this per-diem treatment code.

The code mix and descriptions point to a primarily residential or per-diem treatment operation: H2036 (Alcohol and/or other drug treatment program, per diem) dominates revenue, while H0015 (intensive outpatient) has only 47 claims and $7.9K in revenue, reflecting minimal outpatient intensive services relative to the per-diem program. This pattern suggests the provider’s operational model emphasizes facility-based, per-diem substance-use treatment rather than outpatient counseling as a revenue driver.

Competitive standing for the core service is strong in-state: H2036 ranks #2 of 57 providers (98th percentile) and is described as notably above typical state volume for this code. That rank positions the provider as a major statewide participant for per-diem alcohol/drug treatment, capturing a top-tier share of state Medicaid volume for this service line.

Some billed codes generate little or no Medicaid payment: T1015 (Clinic visit/encounter, all-inclusive) shows 142 claims but $0 average paid/claim and $0 revenue, and ranks #656 of 806 providers (18th percentile). The presence of claims with $0 paid may reflect encounter reporting, bundled payments, or non-reimbursed administrative reporting rather than revenue contribution, and should be interpreted as non‑revenue activity in the Medicaid dataset.

H0015 is present but immaterial to revenue: 47 claims, $169 avg paid/claim, and $7.9K revenue represent 0.0% of the provider’s total Medicaid revenue and rank #128 of 128 providers (0th percentile). This underscores that intensive outpatient services are not a meaningful revenue line for this provider despite being within its reported service mix.

The provider’s NPI was enumerated on 2019-06-07 (~7 years ago), indicating several years of Medicaid billing history concentrated on a high-volume per-diem treatment program. The combination of multi-year tenure and concentrated H2036 volume suggests an established residential substance-use treatment operation with scale within Louisiana Medicaid.

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 Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	381,030	$100	$38.5M
H0015	Alcohol 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…	50	$170	$7.9K
T1015	Clinic visit/encounter, all-inclusive	140	$0	$0

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

Odyssey House Louisiana, Inc — 1 of 2 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	2	60	42,430	$150	$11.3M
T1015	Clinic visit/encounter, all-inclusive	656	810	4,280	$110	$1.8M
H0015	Alcohol 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…	128	130	2,290	$90	$928.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Odyssey House Louisiana, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Odyssey House Louisiana, Inc	LA	Substance Abuse Rehabilitation Facility	$0	$20M
Odyssey House Louisiana, Inc	LA	Substance Abuse Rehabilitation Facility	$0	$8.6M
Odyssey House Louisiana, Inc	LA	Substance Abuse Rehabilitation Facility	$0	$8.1M
Odyssey House Louisiana Inc	LA	Federally Qualified Health Center (FQHC)	$0	$5.6M
Odyssey House Louisiana, Inc	LA	Federally Qualified Health Center (FQHC)	$0	$5.4M
Odyssey House Louisiana Inc	LA	Substance Abuse Rehabilitation Facility	$0	$4.9M

Nearby Providers

Other providers in the same ZIP code as Odyssey House Louisiana, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of New Orleans	LA	Ambulance	$933.5K	$44M
Resources For Human Development	LA	Community/Behavioral Health Agency	$0	$28.2M
Bridge House Corporation	LA	Substance Abuse Rehabilitation Facility	$0	$16.5M
Upward Health Of Louisiana LLC	LA	General Practice Physician	$0	$6.8M
Payne's Home Care Service, Inc	LA	In Home Supportive Care Agency	$0	$4.9M
Eric Royster	LA	Pain Medicine (Anesthesiology) Physician	$79.3K	$10.3K

Odyssey House Louisiana, Inc — Billing Profile & Reimbursement Data

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Odyssey House Louisiana, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References