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.

Behavioral Services Of Louisiana, L.L.C. (NPI 1215365689)

Field	Value
Entity Type	Organization
Organization	Behavioral Services Of Louisiana, L.L.C.
Address	8326 Kelwood Ave
City	Baton Rouge
State	LA
ZIP	70806
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 23, 2013

Payer Source	Total Paid
Medicaid	$41.1M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused operator: it reports $41.1M in lifetime Medicaid revenue and has no Medicare billing on file, indicating a single-payer (Medicaid) footprint rather than a mixed Medicare/Medicaid practice profile. The absence of Medicare activity suggests its clinical and business model is built around Medicaid-covered, community-based behavioral health services.

Revenue is highly concentrated in a narrow code mix: the top three Medicaid codes account for 98.5% of the provider's total Medicaid revenue, led by S5110 at 60.3% and H0038 at 35.6%, with H0036 contributing 2.6%. This concentration means a small number of service lines drive nearly all reported Medicaid dollars.

The provider’s operations appear to be dominated by time-based, community-oriented interventions: S5110 (home care training, family; per 15 minutes) and H0038 (self-help/peer services, per 15 minutes) together represent the vast majority of revenue and are billed in very high unit volumes, consistent with a service model built around frequent, short-duration encounters and peer/community supports rather than traditional, low-frequency clinic visits.

Claims and unit-payment profile reinforce a high-volume, low-unit-price model: S5110 shows 1.3M claims at $19 avg paid/claim for $24.8M revenue, H0038 shows 696.2K claims at $21 avg paid/claim for $14.6M revenue, and H0036 shows 13.7K claims at $77 avg paid/claim for $1.1M revenue. These figures underscore that the provider’s financial scale is driven by massive unit counts rather than high per-encounter reimbursement.

Competitive standing is uneven by service line: for S5110 the provider ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), indicating it is the sole filer of that code in the state dataset or there is a data gap for peers on that code. For H0038 it ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume for this code), marking it as a dominant statewide provider of self-help/peer services. By contrast, its H0036 footprint is more typical: rank #120 of 461 providers in-state (74th percentile), reflecting unremarkable, middling volume for community psychiatric supportive treatment.

The provider shows limited billing of traditional clinical evaluation and E/M codes relative to its community-service volumes: 90791 appears at 375 claims ($37 avg paid/claim, $13.9K revenue, rank #258 of 764 in-state, 66th percentile) and 99212 is essentially negligible (16 claims, $14 avg paid/claim, $224 revenue, rank #1368 of 1461 in-state, 5th percentile). This pattern suggests the organization’s clinical portfolio emphasizes peer and community supports over conventional psychiatrist/therapist office-based evaluations.

Tenure and scale point to an established operator: the NPI was enumerated on 2013-10-23 (~13 years ago), and sustained, very large claim volumes for S5110 and H0038 imply ongoing program-level operations rather than a transient billing pattern. This longevity combined with concentrated code dominance may reflect a deliberate specialization in Medicaid-funded community services.

Strategic and reimbursement risk is concentrated: because S5110 and H0038 drive nearly all Medicaid revenue, the provider is exposed to policy, audit, or reimbursement changes targeting those specific codes. Conversely, its leading position in H0038 (100th percentile) could convey negotiating leverage with Medicaid plans for peer/self-help service contracts, but that advantage is balanced by the overall revenue dependence on just a couple of time-based service codes.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5110	Home care training, family; per 15 minutes	1,303,210	$20	$24.8M
H0038	Self‑help/peer services, per 15 minutes	696,230	$20	$14.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	13,690	$80	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	10,230	$60	$614K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	380	$40	$13.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$10	$220

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

Behavioral Services Of Louisiana, L.L.C. — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5110	Home care training, family; per 15 minutes	1	10	1,303,210	$20	$24.5M
H0038	Self‑help/peer services, per 15 minutes	1	10	470	$20	$2.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	120	460	5,030	$80	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	159	400	6,490	$60	$958.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,368	1,460	440	$20	$64K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	258	760	170	$40	$25.6K

Nearby Providers

Other providers in the same ZIP code as Behavioral Services Of Louisiana, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$23.8M
Capitol City Family Health Center Incorporated	LA	Federally Qualified Health Center (FQHC)	$0	$21.6M
P & L Medical Service	LA	Home Health Agency	$0	$16.5M
Independent Living Inc	LA	Home Health Agency	$0	$15.3M
Association For Retarded Citizens Baton Rouge	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.5M
Louisiana Health & Rehabilitation Coptions	LA	Intellectual & Developmental Disabilities Psychologist	$0	$13.6M
Hiv-aids Alliance For Region Two	LA	Federally Qualified Health Center (FQHC)	$0	$12.7M
One Life Health Care, LLC	LA	Community Based Hospice Care Agency	$0	$12.1M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M
4ever Caring,llc	LA	In Home Supportive Care Agency	$0	$11.4M

Behavioral Services Of Louisiana, L.L.C. — Billing Profile & Reimbursement Data

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Behavioral Services Of Louisiana, L.L.C. — 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