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.

Brfhh Monroe LLC (NPI 1215939210)

Key Findings

Field	Value
Entity Type	Organization
Organization	Brfhh Monroe LLC
Address	4864 Jackson St
City	Monroe
State	LA
ZIP	71202
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 10, 2005

Payer Source	Total Paid
Medicaid	$56.8M
Medicare	$0

BRFHH MONROE LLC reports no Medicare billing on file and all documented federal-reimbursed activity is concentrated in Medicaid, with total Medicaid revenue of $56.8M. This makes the entity effectively single-payer in the available dataset; analysts should treat Medicare comparisons as not applicable for this facility. The provider was enumerated on 2005-08-10, indicating roughly 21 years of active NPI presence which supports a mature operating history in the market.

Revenue concentration within Medicaid is materially driven by a small set of services: the top three Medicaid codes by revenue account for 40.0% of this provider's total Medicaid revenue. Emergency department E/M codes (99284 and 99283) and a high-volume office/outpatient E/M code (99213) are among those top drivers, signaling that acute and unscheduled care plus ambulatory evaluation/management visits are central to the provider’s revenue mix.

The facility shows very high volume in routine outpatient evaluation/management codes: 99213 generated $4.5M (9.8% of Medicaid revenue) with 137.1K claims and ranks #25 in-state at the 99th percentile, while 99214 and 99212 also appear at elevated state percentiles (99th and 99th respectively). These placements indicate BRFHH MONROE functions as a major ambulatory and outpatient visit site in Louisiana, delivering a large number of low-to-moderate complexity office visits relative to in-state peers.

Emergency department work is a clear service-line focus: 99284 produced $9.3M (20.2% of Medicaid revenue) and 99283 produced $4.7M (10.1%), together comprising a substantial share of Medicaid revenue and reflecting heavy ED utilization. State rankings for these ED codes are typical to unremarkable in percentile (86th and 91th), indicating the facility handles high absolute ED volumes but is one among several busy ED providers in Louisiana rather than a single dominant ED outlier.

BRFHH MONROE also reports very high volumes in certain procedural and lab services that align with hospital-based care: 96372 (59.4K claims) and 96374 (15.3K claims) are extreme or notable outliers in-state, and 80053 (120.2K claims) and 85025 (112.8K claims) are extreme outliers as well. This pattern—large counts of injection/infusion and high-throughput lab panels—supports an operational profile of an acute-care hospital with substantial throughput for diagnostics, minor procedures, and medication administration.

The provider is a notable chemotherapy and oncology administrator within the state: J9271 (pembrolizumab) generated $1.9M (4.1% of Medicaid revenue) and ranks #1 of 8 in-state, while 96413 chemotherapy administration produced $1.2M (2.6%) and ranks highly. These placements suggest BRFHH MONROE is a significant local site for high-cost biologic and chemotherapy administration, which has implications for specialty drug procurement, infusion capacity, and oncology care coordination.

Several infectious disease testing codes are also prominent and rank very high in-state—87635 (SARS–CoV–2 testing) and the multiplex STI panels 87591/87491 each appear at or near the 99th/94th percentiles—indicating the hospital carries substantial diagnostic lab volume for both acute respiratory and sexually transmitted infection screening. For payers and network planners, this signals capacity for high-volume molecular testing and related laboratory billing patterns.

Medicaid: Complete Services Breakdown

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

381 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	53,000	$180	$9.3M
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.	45,800	$100	$4.7M
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…	137,060	$30	$4.5M
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.	17,520	$260	$4.5M
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…	65,400	$50	$3.1M
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,…	78,740	$30	$2.2M
J9271	Injection, pembrolizumab, 1 mg	600	$3,150	$1.9M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	59,390	$30	$1.8M
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…	35,590	$50	$1.6M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4,770	$290	$1.4M

Showing 1–10 of 381

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

Brfhh Monroe LLC — 10 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

381 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.	37	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.	72	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.	26	270	11,250	$90	$1.8M
J9271	Injection, pembrolizumab, 1 mg	1	10	160	$3,820	$862.6K
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…	21	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.	31	100	760	$100	$441.2K
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…	36	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.	35	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.	5	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	20	80	580	$210	$270.6K

Showing 1–10 of 381

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsu Health Sciences Center Shreveport Faculty Group Practice	LA	Family Medicine Physician	$0	$235.7M
Brfhh Monroe LLC	LA	Internal Medicine Physician	$0	$8.9M
Clarence Dunn	LA	Specialist	$98.5K	$0
Erin Smiley	LA	Certified Registered Nurse Anesthetist	$62.9K	$0
Chaitanya Ahuja	LA	Vascular & Interventional Radiology Physician	$42.1K	$0
Gregory Strickland	LA	Certified Registered Nurse Anesthetist	$40.7K	$0
Clinton Pepper	LA	Certified Registered Nurse Anesthetist	$34.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rehab Services Of Ne La, LLC	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M
Serenity Sober Livving, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$6.7M
Conway Emergency Group LLC	LA	Emergency Medicine Physician	$0	$5.5M
Milestone Recovery, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$5.3M
Ihianle Osagie	LA	Family Medicine Physician	$149.3K	$0
William Yates	LA	Family Medicine Physician	$123.3K	$0
Kurt Keller	LA	Emergency Medicine Physician	$31.5K	$0
Pamela Guoth	LA	Emergency Medicine Physician	$23.4K	$0
Robert Ordonez	LA	Family Medicine Physician	$23.2K	$0

Brfhh Monroe 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