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.

Delta Medical Group (NPI 1205210838)

Delta Medical Group is a urgent care clinic/center provider located in Houma, Louisiana. This profile covers 0 Medicare and 22 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	Delta Medical Group
Address	1340 Grand Caillou Rd
City	Houma
State	LA
ZIP	70363
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	July 14, 2015

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	54,860	$60	$3M
99204	The provider sees a new 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 provider…	16,470	$80	$1.4M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	26,590	$30	$744.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	11,900	$50	$595K
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.	47,100	$10	$471K
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…	11,670	$40	$408.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	11,310	$30	$339.3K
0241U	N/A	2,200	$100	$217.8K
99203	The provider sees a new 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 provider…	3,920	$50	$200K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	18,390	$10	$183.9K

Showing 1–10 of 22

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

Delta Medical Group — 6 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	50	2,890	980	$40	$246.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	22	210	630	$70	$239.6K
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…	487	3,230	1,120	$30	$204.3K
0241U	N/A	20	100	430	$90	$186.2K
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…	272	360	340	$30	$120.8K
99204	The provider sees a new 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 provider…	19	1,170	160	$80	$102.7K
0240U	N/A	23	20	230	$90	$77.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	124	700	180	$60	$77K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	67	120	240	$30	$70.6K
99203	The provider sees a new 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 provider…	69	1,280	180	$50	$64.8K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delta Medical Group	MS	Emergency Medicine Physician	$0	$7.4M
Delta Health System	MS	Rural Health Clinic/Center	$0	$6.6M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
John Herzog	MS	Cardiovascular Disease Physician	$772.4K	$3K
Gregg Dickerson	MS	Radiation Oncology Physician	$567.3K	$0
Satwinder Singh	MS	Infectious Disease Physician	$445.5K	$0
Parvez Karim	MS	Internal Medicine Physician	$324.6K	$0
Ryan Mcgaughey	MS	Anesthesiology Physician	$231.4K	$0
Khaled Abu-hamdan	MS	Psychiatry Physician	$183.6K	$0
Shabana Karim	MS	Specialist	$176.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Regional Medical Corporation	LA	General Acute Care Hospital	$0	$31.5M
South Louisiana Medical Associates	LA	Surgery Physician	$0	$21.3M
South Louisiana Medical Associates	LA	Internal Medicine Physician	$0	$7.4M
Terrebonne Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$5.3M
James Crowe	LA	Internal Medicine Physician	$425.9K	$0
Sandra Charpentier	LA	Internal Medicine Physician	$95.1K	$0
Terry Delord	LA	Internal Medicine Physician	$93.5K	$0
Shaminder Gupta	LA	Nephrology Physician	$81.1K	$0
Drew Bienvenu	LA	Emergency Medicine Physician	$44.4K	$0
Corey Dupre	LA	Physician Assistant	$37K	$0

Delta Medical Group — Billing Profile & Reimbursement Data

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Delta Medical Group — 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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