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.

Abbeville General Hospital (NPI 1255300414)

Abbeville General Hospital is a rural acute care hospital provider located in Abbeville, Louisiana. This profile covers 0 Medicare and 171 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	Abbeville General Hospital
Address	118 N Hospital Dr
City	Abbeville
State	LA
ZIP	70510
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	March 17, 2006

Payer Source	Total Paid
Medicaid	$18.9M
Medicare	$0

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

171 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	29,620	$160	$4.8M
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.	14,330	$290	$4.2M
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.	12,880	$110	$1.5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2,240	$610	$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.	3,450	$330	$1.1M
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	1,620	$240	$386.3K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	8,160	$40	$326.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	6,020	$50	$313K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	5,620	$50	$280.8K
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…	6,550	$40	$268.4K

Showing 1–10 of 171

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

Abbeville General Hospital — 1 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

171 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.	116	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.	126	240	4,030	$130	$2M
T1015	Clinic visit/encounter, all-inclusive	688	810	4,280	$110	$1.8M
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.	61	270	11,250	$90	$1.8M
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…	75	100	620	$40	$560K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	30	160	$520	$413.4K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	85	90	650	$40	$404.2K
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.	91	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.	17	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	40	80	580	$210	$270.6K

Showing 1–10 of 171

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abbeville General Hospital	LA	Rural Health Clinic/Center	$0	$15.5M
Abbeville General Hospital	LA	Rural Health Clinic/Center	$0	$6.9M
Jon Leleux	LA	Interventional Cardiology Physician	$1.3M	$0
Stephen Simpson	LA	Cardiovascular Disease Physician	$615.8K	$0
Vernon Valentino	LA	Cardiovascular Disease Physician	$375.7K	$390
Phillip Noel	LA	Otolaryngology Physician	$332K	$0
Ronald Lahasky	LA	Internal Medicine Physician	$310.5K	$0
James Kyle	LA	Orthopaedic Surgery Physician	$304.6K	$0
Son Nguyen	LA	Gastroenterology Physician	$247.6K	$0
Myriam Hutchinson	LA	Internal Medicine Physician	$215.3K	$30.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcare Medical LLC	LA	Rural Health Clinic/Center	$0	$8.9M
Iberia Comprehensive Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kerry Brown	LA	Ophthalmology Physician	$746.9K	$0
Palms Surgery Center L.L.C.	LA	Surgery Physician	$216.2K	$0
Emile Broussard	LA	Ophthalmology Physician	$209.3K	$5K
Meredith Manafi	LA	Physician Assistant	$78.8K	$0
Lisa Jaubert	LA	Adult Health Nurse Practitioner	$74.6K	$0
Weston Miller	LA	Surgery Physician	$23.5K	$22.3K
Natalie Mccall	LA	Family Nurse Practitioner	$38.9K	$0
Edward Chauvin	LA	Chiropractor	$26.4K	$0

Abbeville General Hospital — Billing Profile & Reimbursement Data

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Abbeville General Hospital — 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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