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.

North Oaks Medical Center, LLC (NPI 1144227539)

Field	Value
Entity Type	Organization
Organization	North Oaks Medical Center, LLC
Address	15790 Paul Vega Md Dr
City	Hammond
State	LA
ZIP	70403
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicaid	$37.5M
Medicare	$0

Key Findings

This provider is effectively single-payer by volume: there is no Medicare billing on file while total Medicaid revenue is $37.5M, so all reportable federal fee-for-service activity in our dataset is concentrated in Medicaid. The absence of Medicare claims limits direct comparison to national Medicare peers and means Medicaid performance will dominate any payer-strategy analysis for this entity.

Revenue concentration is high: the top three Medicaid codes (99285, 99284, 99213) together account for 53.3% of the provider's total Medicaid revenue. Individually those codes represent $7.7M (24.0%), $6.2M (19.2%), and $3.3M (10.1%) respectively, indicating that emergency and outpatient E/M services are the primary revenue drivers.

The code mix strongly signals an emergency-department–centric operation with substantial outpatient follow-up: 99285 and 99284 are the two largest revenue contributors and multiple other ED E/M codes (99283, 99282, 99281) also appear in the top volume list. High-volume ED activity is reinforced by related services commonly delivered in acute care settings — IV medication administration codes (96374, 96375), EKGs (93005), chest x-ray (71045) and CT head (70450) — consistent with an active hospital ED supporting diagnostics and rapid treatment.

Competitive standing inside Louisiana is mixed but leans toward being a major ED/resource center: 99285 ranks #18 of 237 (93rd percentile) and 99284 ranks #30 of 266 (89th percentile), which are described as typical state volumes, while 99213 ranks #35 of 3226 (99th percentile) and is labeled an "extreme outlier." This combination means the provider is an above-typical participant for several high-volume codes and a top outlier for select outpatient visits in the state.

There are distinct statistical outliers that suggest specialized or disproportionately high use for certain services: 99213 is an "extreme outlier" (99th percentile), 0241U ranks #2 of 95 (99th percentile, "extreme outlier"), and 99281 ranks #1 of 92 (100th percentile, "extreme outlier"). Additionally, 87632 ranks #1 of 6 (100th percentile) and several other codes are described as "notably above typical" (for example 99282 at the 97th percentile and 85025 at the 96th percentile), highlighting concentrated strengths or service-line emphasis relative to state peers.

Operational profile implied by the non-E/M codes: sizable volumes in basic labs and imaging (80053, 85025, 87798, U0003), EKGs (93005), and procedural services (70450 CT head, 69436 tympanostomy, 62323 epidural injections). Average paid-per-claim figures are modest for high-count lab panels (80053: $7) and CBC (85025: $5) but larger for targeted procedures (64493: $534, 70450: $106), suggesting a high throughput model for low-acuity diagnostics plus episodic higher-reimbursement procedures.

From a risk/opportunity perspective, the heavy Medicaid-only footprint and the 53.3% revenue concentration in three E/M codes create both dependence on ED/outpatient volumes and potential leverage for negotiations with state Medicaid plans. Because the NPI has been enumerated since 2005-06-30 (~21 years ago), the provider has an established operating history in the market, which supports the interpretation that these patterns reflect a stable, long-running service mix rather than a transitory reporting artifact.

Medicaid: Complete Services Breakdown

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

262 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	53,790	$140	$7.7M
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.	59,850	$100	$6.2M
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…	104,840	$30	$3.3M
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.	45,330	$70	$3.1M
0241U	N/A	19,210	$100	$1.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29,540	$40	$1.1M
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.	21,030	$50	$1.1M
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…	30,900	$30	$896K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	18,070	$50	$849.4K
99281	The provider sees a patient for the lowest level emergency department visit.	19,270	$40	$751.7K

Showing 1–10 of 262

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

North Oaks Medical Center, LLC — 8 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

262 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.	30	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.	18	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.	27	270	11,250	$90	$1.8M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	20	100	620	$40	$560K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	54	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	32	30	160	$520	$413.4K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	3	90	650	$40	$404.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	52	90	1,270	$50	$375.3K
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.	33	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.	6	170	1,260	$70	$322.4K

Showing 1–10 of 262

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Oaks Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Oaks Medical Center, LLC	LA	General Acute Care Hospital	$0	$18.3M
North Oaks Physician Group, LLC	LA	Multi-Specialty Clinic/Center	$0	$7.3M
Philip Beuchert	NY	Diagnostic Radiology Physician	$583.7K	$1.7K
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
James Fernandez	MN	Diagnostic Radiology Physician	$248.1K	$0
Binor Said	FL	Diagnostic Radiology Physician	$235K	$0
Rishi Pathak	LA	Physical Medicine & Rehabilitation Physician	$216.2K	$0
James Parker	LA	Cardiovascular Disease Physician	$180.8K	$0
Ronald Pritchard	OK	Diagnostic Radiology Physician	$166.5K	$5K
Monica Cespedes Santana	PR	Infectious Disease Physician	$7.9K	$162.2K

Nearby Providers

Other providers in the same ZIP code as North Oaks Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Inc	LA	Developmentally Disabled Services Day Training Agency	$0	$46.6M
Always Tlc, LLC	LA	In Home Supportive Care Agency	$0	$18.8M
North Oaks Pediatric Clinic, L.L.P.	LA	Pediatrics Physician	$0	$14.2M
Choices Coordinated Care Solutions, Inc.	LA	Case Management Agency	$0	$13.9M
Gloss Enterprise	LA	In Home Supportive Care Agency	$0	$13.6M
Wilkinson Care Giving, LLC	LA	In Home Supportive Care Agency	$0	$11.7M
North Oaks Obstetrics & Gynecology	LA	Gynecology Physician	$0	$8.5M
Egan Healthcare Of Northshore, Inc	LA	Home Health Agency	$0	$8.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$7.5M
Northlake Gastroenterology	LA	Specialist	$0	$7.2M

North Oaks Medical Center, LLC — 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