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.

St Mary Emergency Group LLC (NPI 1235108499)

Field	Value
Entity Type	Organization
Organization	St Mary Emergency Group LLC
Address	1125 Marguerite St
City	Morgan City
State	LA
ZIP	70380
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 17, 2006

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

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
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.	52,790	$70	$3.6M
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.	36,900	$40	$1.4M
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.	15,050	$90	$1.4M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6,030	$1	$18.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$80	$2.5K
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.	20	$30	$500

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

St Mary Emergency Group LLC — 0 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
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.	38	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.	80	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.	44	270	11,250	$90	$1.8M
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.	156	170	1,260	$70	$322.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	129	150	340	$120	$204.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	85	280	1,410	$1	$46.9K

Nearby Providers

Other providers in the same ZIP code as St Mary Emergency Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Morgan City LLC	LA	General Acute Care Hospital	$0	$10.3M
Pediatric Clinic Of St Mary Parish Apmc	LA	Pediatrics Physician	$0	$8.8M
Bayou Health Elderly & Disabled Care, Inc.	LA	Personal Care Attendant	$0	$7.7M
St. Mary Parish Government/fairview Treatment Cente	LA	Substance Abuse Rehabilitation Facility	$0	$6M
Bayou Health Elderly & Disabled Care, Inc.	LA	Personal Care Attendant	$0	$5.6M
Odyssey House Louisiana Inc	LA	Substance Abuse Rehabilitation Facility	$0	$4.9M
Natchez Morice	LA	Obstetrics & Gynecology Physician	$1.9K	$4.6M
Darrell Solet	LA	Cardiovascular Disease Physician	$312.3K	$0
Jared Thurston	LA	Ophthalmology Physician	$216.7K	$5.5K
Francis Metz	LA	Internal Medicine Physician	$214K	$0

St Mary Emergency Group LLC — Billing Profile & Reimbursement Data

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St Mary Emergency Group LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References