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.

Leading Health Care Of La (NPI 1194854950)

Field	Value
Entity Type	Organization
Organization	Leading Health Care Of La
Address	41 Lord Of Lords Ave
City	Pineville
State	LA
ZIP	71360
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$37.3M
Medicare	$0

Key Findings

LEADING HEALTH CARE OF LA reports $37.3M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused provider based on available claims data. This single-payer orientation means analyses of utilization, reimbursement risk, and competitive positioning should be framed primarily within the Medicaid program.

Revenue is extremely concentrated: the platform’s precomputed metrics show the top three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, and the listed top code S5125 alone is reported as $37.3M (100.0% of total Medicaid revenue). This concentration indicates the provider’s financial performance is driven almost entirely by attendant care services.

The provider’s Medicaid billing is dominated by S5125 (Attendant care services; per 15 minutes), with 141.8K claims and an average paid per claim of $263. Given S5125’s per-15-minute unit definition, the claim count and payment level together point to an operational model built around high-volume, labor-intensive in-home attendant care and recurring short-interval service delivery.

The $263 average paid per claim for a per-15-minute code suggests claims are frequently submitted as bundled or multi-unit events rather than single 15-minute entries, implying either long cumulative service durations per claim event or billing practices that aggregate many service units. Analysts should interpret the payment-per-claim figure in the context of unit counts and state billing conventions when comparing productivity or intensity to peers.

On statewide competitive standing for S5125, LEADING HEALTH CARE OF LA ranks #33 of 486 providers and sits in the 93th percentile, which the peer data describes as notably above typical state volume. This places the provider as a meaningful scale participant in Louisiana’s attendant-care market — a significant regional player but not the top-volume operator.

The organization has an NPI enumeration date of 2007-03-05 (~19 years ago), indicating established tenure in the market. This longevity may correspond with developed operational capacity, payer relationships, and staff networks needed to sustain the high-volume attendant-care activity reflected in the claims.

Operational and financial risk is concentrated: reliance on a single service line (attendant care via S5125) and a single payer (Medicaid) creates exposure to changes in Medicaid reimbursement policy, eligibility rules, or state-level managed long-term services and supports reforms. Payer-mix sensitivity and code-concentration effects should be monitored for revenue volatility and contract negotiation implications.

The high claims volume (141.8K claims) combined with the labor-oriented code mix signals substantial staffing and scheduling requirements inherent to in-home attendant care. Analysts assessing capacity, workforce needs, or unit-cost comparisons should prioritize obtaining unit-per-claim details and utilization profiles to understand how intensity of service delivery translates into the reported $37.3M Medicaid revenue.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	141,800	$260	$37.3M

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

Leading Health Care Of La — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	33	490	35,970	$140	$7.3M

Nearby Providers

Other providers in the same ZIP code as Leading Health Care Of La, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accessible Healthcare Solutions	LA	Personal Care Attendant	$0	$22.7M
Pathways Substance Abuse, L.L.C.	LA	Substance Abuse Rehabilitation Facility	$0	$19.8M
Shahid Mansoor, Md. A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$15.1M
Evergreen Presbyterian Ministries, Inc.	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.4M
Steps Recovery Solutions, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$8.7M
Leading Health Care Of La	LA	In Home Supportive Care Agency	$0	$6.3M
Easter Seals Louisiana Inc.	LA	Case Management Agency	$0	$5.1M
James Ralston	LA	Ophthalmology Physician	$165.9K	$577.6K
Natasha Edwards	LA	Family Nurse Practitioner	$147.7K	$0
Joanna Holton	LA	Family Medicine Physician	$133.9K	$0

Leading Health Care Of La — Billing Profile & Reimbursement Data

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Leading Health Care Of La — 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

Nearby Providers

Frequently Asked Questions

References