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.

Louisiana State University School Of Medicine In New Orleans Faculty (NPI 1275984973)

Field	Value
Entity Type	Organization
Organization	Louisiana State University School Of Medicine In New Orleans Faculty
Address	2000 Canal St
City	New Orleans
State	LA
ZIP	70112
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 24, 2016

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	119,150	$110	$13.1M
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.	86,910	$70	$6.3M
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.	39,840	$40	$1.6M
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…	2,780	$180	$505.4K
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.	1,430	$20	$21.5K
99281	The provider sees a patient for the lowest level emergency department visit.	430	$20	$6.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	150	$1	$310
99053	The provider renders overnight services at a 24 hour facility.	360	$0	$0
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and…	20	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	110	$0	$0

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

Louisiana State University School Of Medicine In New Orleans Faculty — 2 of 7 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

10 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.	14	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.	3	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.	34	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.	82	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…	23	150	340	$120	$204.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	205	280	1,410	$1	$46.9K
99281	The provider sees a patient for the lowest level emergency department visit.	26	90	140	$40	$44.3K
99053	The provider renders overnight services at a 24 hour facility.	17	20	1,820	$1	$60
G9744	Patient not eligible due to active diagnosis of hypertension	47	70	210	$1	$1
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and…	7	10	30	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Louisiana State University School Of Medicine In New Orleans Faculty, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roy Ary	GA	Addiction Medicine (Family Medicine) Physician	$70.3K	$0

Nearby Providers

Other providers in the same ZIP code as Louisiana State University School Of Medicine In New Orleans Faculty, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Center Management Corporation	LA	General Acute Care Hospital	$0	$87M
Louisiana State University School Of Medicine In New Orleans Faculty G	LA	Multi-Specialty Clinic/Center	$0	$67.9M
Administrators Of The Tulane Educational Fund	LA	Specialist	$0	$24.6M
Aaa Care LLC	LA	Developmentally Disabled Services Day Training Agency	$0	$14.9M
University Medical Center Management Corporation	LA	Family Medicine Physician	$0	$6.1M
Sagar Patel	LA	Ophthalmology Physician	$1.5M	$270
Elsa Schexnaildre	LA	Family Nurse Practitioner	$257.2K	$0
Ramprasad Kandavar	LA	Nephrology Physician	$236.8K	$0
Nathaniel Peyton	LA	Gastroenterology Physician	$220.2K	$0
Heatherly Hill	LA	Family Nurse Practitioner	$214K	$0

Louisiana State University School Of Medicine In New Orleans Faculty — Billing Profile & Reimbursement Data

Sign up for Louisiana State University School Of Medicine In New Orleans Faculty — Billing Profile & Reimbursement Data policy alerts

Louisiana State University School Of Medicine In New Orleans Faculty — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References