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.

West Jefferson Holdings, LLC (NPI 1265437644)

Field	Value
Entity Type	Organization
Organization	West Jefferson Holdings, LLC
Address	1101 Medical Center Blvd
City	Marrero
State	LA
ZIP	70072
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 14, 2005

Payer Source	Total Paid
Medicaid	$48.5M
Medicare	$0

Key Findings

WEST JEFFERSON HOLDINGS, LLC reports $48.5M in lifetime Medicaid revenue and has no Medicare billing on file; this makes the provider effectively single‑payer (Medicaid) in the dataset. Its NPI was enumerated 2005-06-14 (~21 years ago), indicating an established presence in the market despite the absence of Medicare claims in the record.

Revenue is highly concentrated in a small set of emergency and transport services: the precomputed top three Medicaid codes (A0427, 99285, 99284) account for 46.9% of the provider's total Medicaid revenue. Specifically, A0427 generated $7.3M (36K claims, $203 avg paid/claim), 99285 generated $6.3M (36K claims, $174 avg paid/claim), and 99284 generated $6.2M (47.3K claims, $132 avg paid/claim).

The code mix indicates this facility operates with a heavy emergency and acute-care footprint: high volumes and revenues for ED E/M codes 99285, 99284, and 99283 (61.1K claims, $5.9M revenue for 99283) alongside substantial ambulance services A0427 and A0429 (36K claims/$7.3M and 24.7K claims/$2.8M respectively) suggest the hospital functions as a regional emergency receiving center with integrated emergency transport activity.

Competitive standing by state benchmarks is mixed: for ambulance and ED codes the provider often sits in upper state percentiles but is labeled 'typical, unremarkable volume' (e.g., A0427 ranks #6 of 54, 91th percentile; 99285 ranks #34 of 237, 86th percentile; 99284 ranks #48 of 266, 82th percentile). This pattern implies high absolute activity but not necessarily an extreme outlier relative to in‑state peers for those specific emergency codes.

A subset of codes shows notably above‑typical state volume, highlighting areas where this provider is a top user: 99214 produced $2.7M and is reported at the 98th percentile ('notably above typical state volume'), 96372 produced $430K at the 97th percentile ('notably above typical state volume'), and 0241U produced $910.8K at the 95th percentile. These elevated percentiles point to sustained high outpatient visit and injection/service volumes beyond just emergency care.

Beyond ED and transport, the provider generates meaningful Medicaid revenue from inpatient/outpatient procedures and diagnostics — for example, 43239 endoscopic biopsies produced $807.6K, 93306 echocardiography produced $788.4K, and 43775 bariatric surgery produced $374K. These items indicate service-line breadth consistent with a general acute care hospital that performs both diagnostic imaging/procedures and surgical interventions.

The provider reports very large raw claim counts on some routine lab and diagnostic panels that add up nontrivially to revenue (e.g., 80053 CMP: 60.1K claims/$420.9K; 85025 CBC: 60.8K claims/$304.1K), which—combined with high ED and transport volumes—suggests substantial throughput across both emergency and outpatient diagnostics. Several of these routine codes rank in the 90th+ state percentiles (e.g., 85025 at the 94th percentile) and are described as 'notably above typical' or 'typical, unremarkable' depending on the code.

The reliance on Medicaid (no Medicare billing) and the fact that nearly half of Medicaid revenue is concentrated in three emergency/transport codes (46.9%) means payers or network changes affecting ED reimbursement or ambulance coverage could have outsized impact on this provider's revenue profile. Given the provider's ~21‑year tenure, this is a longstanding operating pattern rather than a short‑term artifact in the data.

Medicaid: Complete Services Breakdown

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

261 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	36,050	$200	$7.3M
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.	35,990	$170	$6.3M
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.	47,300	$130	$6.2M
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.	61,060	$100	$5.9M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	24,670	$110	$2.8M
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…	57,110	$50	$2.7M
A0425	Ground mileage, per statute mile	65,930	$30	$1.6M
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…	39,170	$30	$1.2M
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…	30,840	$30	$986.8K
0241U	N/A	9,390	$100	$910.8K

Showing 1–10 of 261

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

West Jefferson Holdings, LLC — 3 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

261 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	6	50	3,110	$250	$5.8M
A0425	Ground mileage, per statute mile	9	60	5,300	$60	$2.9M
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.	48	270	9,980	$110	$2.6M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	11	30	5,040	$70	$2.1M
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.	34	240	4,030	$130	$2M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	4	40	2,720	$140	$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.	16	270	11,250	$90	$1.8M
87150	The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…	10	20	490	$160	$855.8K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	42	60	1,160	$280	$690.6K
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…	16	100	620	$40	$560K

Showing 1–10 of 261

Related Providers

Other providers that share a Tax Identification Number (TIN) with West Jefferson Holdings, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary Reiss	LA	Gastroenterology Physician	$58.9K	$0

Nearby Providers

Other providers in the same ZIP code as West Jefferson Holdings, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Orleans Physician Services Inc	LA	Internal Medicine Physician	$0	$23.5M
Reliable Pca Agency L.L.C	LA	Nursing Care Agency	$0	$8.8M
David L Schneider Md Apmc	LA	Otolaryngology Physician	$0	$7.1M
Westcare Medical Center, Inc	LA	Clinic/Center	$0	$6.8M
Jeffcare	LA	Federally Qualified Health Center (FQHC)	$0	$6.7M
Wjh Physician Services	LA	Internal Medicine Physician	$0	$6.2M
Michael Haydel Md A Medical Corporation	LA	Pediatrics Physician	$0	$5.8M
Jefferson Parish Public School System	LA	Local Education Agency (LEA)	$0	$5.3M
New Orleans La Uptown West Bank Endoscopy Asc LLC	LA	Ambulatory Surgical Clinic/Center	$222.8K	$699.2K
Shibu Varughese	LA	Internal Medicine Physician	$370.9K	$0

West Jefferson Holdings, 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