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    OpenPayerNPI Medicare & MedicaidThe Arc Caddo Bossier
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    The Arc Caddo Bossier — Billing Profile & Reimbursement Data

    NPI 1295859668 · Shreveport, LA · Health Maintenance Organization

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    The Arc Caddo Bossier is a health maintenance organization provider located in Shreveport, Louisiana. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Arc Caddo Bossier
    Address351 Jordan St
    CityShreveport
    StateLA
    ZIP71101
    TaxonomyHealth Maintenance Organization
    NPI EnumeratedMarch 19, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$37.3M
    Medicare$0

    Key Findings

    This entity has no Medicare billing on file and reports $37.3M in lifetime Medicaid revenue, making it effectively a single‑payer Medicaid operator in our dataset. Analysts should treat Medicaid as the sole source of reported CMS revenue when benchmarking this provider.

    Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and S5125 alone is reported as $37.3M (100.0% of this provider's total Medicaid revenue). This concentration indicates the provider’s financial performance is driven almost entirely by a single service line.

    S5125 (Attendant care services; per 15 minutes) dominates the billing mix, which implies the organization’s operations are focused on attendant/personal care and time‑based supportive services rather than clinic‑based or procedure‑driven care. The code mix aligns with long‑term services and supports or home/community‑based care delivery models rather than acute medical treatment.

    Claim volume and unit economics for S5125 show 56.1K claims with an average paid per claim of $664, totaling $37.3M in revenue. The combination of high claim volume and a $664 average paid/claim suggests either multiple time units are aggregated per claim or relatively high per‑claim reimbursement; further record-level review would clarify billing granularity.

    Competitively, this provider ranks #171 of 486 in-state for S5125 (65th percentile), which the source labels as "typical, unremarkable volume for this code." That percentile position points to a mid‑tier statewide presence for attendant care services rather than a dominant market share.

    The provider’s NPI was enumerated on 2007-03-19 (~19 years ago), indicating an established operating history in the market. This tenure supports continuity in Medicaid service delivery and may reflect long‑standing participation in state programs.

    Given the combination of a Health Maintenance Organization taxonomy and exclusive Medicaid attendant‑care billing, analysts should verify the provider’s operational role (for example, whether it functions as a managed‑care entity, a direct service vendor to managed care plans, or a contractor within Medicaid programs). The sharp reliance on S5125 means any policy, rate, or utilization changes for that code would materially affect the provider’s revenue profile.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes56,120$660$37.3M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Louisiana median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes17149035,970$140$7.3M

    Nearby Providers

    Other providers in the same ZIP code as The Arc Caddo Bossier, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Volunteers Of America Of North LouisianaLADevelopmentally Disabled Services Day Training Agency$0$24.2M
    City Of ShreveportLAAmbulance$1.5M$20.2M
    Assisted Family Services, LLC.LAIn Home Supportive Care Agency$0$19.8M
    Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLCLAWomen's Hospital$0$15M
    Volunteers Of America Of North LouisianaLAMental Health Clinic/Center (Including Community Mental Health Center)$0$12.5M
    Brentwood Acquisition-shreveport Inc.LAPsychiatric Hospital$0$11.2M
    Easter Seals Louisiana Inc.LACase Management Agency$0$9.8M
    Center For Behavioral Health Louisiana LLCLAMethadone Clinic$299.3K$7.1M
    Aaron BroadwellLARheumatology Physician$6.4M$0
    Progressive Childrens Clinic LLCLAPediatrics Physician$0$6.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    The Arc Caddo Bossier — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana