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.

Capital Area Human Services District (NPI 1295000164)

Field	Value
Entity Type	Organization
Organization	Capital Area Human Services District
Address	2455 Wooddale Blvd.
City	Baton Rouge
State	LA
ZIP	70805
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	March 12, 2012

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	75,410	$80	$6M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	430	$50	$23.2K
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…	360	$40	$14.2K
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…	250	$20	$5.7K
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…	20	$80	$1.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$50	$710
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,…	50	$10	$690
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	80	$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

Capital Area Human Services District — 0 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	22	60	42,430	$150	$11.3M
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…	1,890	2,890	980	$40	$246.8K
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…	2,296	3,230	1,120	$30	$204.3K
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…	614	700	180	$60	$77K
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,…	1,174	1,460	440	$20	$64K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	136	390	180	$50	$49.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	721	760	170	$40	$25.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	171	240	330	$10	$9.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Capital Area Human Services District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Area Human Services District	LA	Adolescent and Children Mental Health Clinic/Center	$0	$5M
Anthony Monteleone	LA	Clinical Social Worker	$4.5K	$0
Ashley Bailey	LA	Clinical Social Worker	$4.3K	$0
Thomas Cannon	LA	Clinical Social Worker	$4.2K	$0
Gregory Quartano	LA	Clinical Social Worker	$2K	$0
Lori Richard	LA	Clinical Social Worker	$890	$0
Ricky Falcon	LA	Social Worker	$180	$0
Adrianne Rivera	LA	Clinical Social Worker	$160	$0

Nearby Providers

Other providers in the same ZIP code as Capital Area Human Services District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acadia Health LLC	LA	General Practice Dentistry	$0	$11.6M
Assisted Hands	LA	Community Health Worker	$0	$6.9M
Heavenly Haven	LA	Home Health Agency	$0	$5M
John Smith	LA	Cardiovascular Disease Physician	$503.2K	$0
Clyde Patroni	LA	Emergency Medicine Physician	$147.9K	$0
Jason Mook	LA	Emergency Medicine Physician	$125.2K	$0
Howard Wascom	LA	Certified Registered Nurse Anesthetist	$7.4K	$0

Capital Area Human Services District — Billing Profile & Reimbursement Data

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Capital Area Human Services District — 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