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.

Acs Primary Care Physicians Louisiana PC (NPI 1306889092)

Field	Value
Entity Type	Organization
Organization	Acs Primary Care Physicians Louisiana PC
Address	211 4th St
City	Alexandria
State	LA
ZIP	71301
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicaid	$20.6M
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
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.	107,110	$80	$8.9M
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.	111,750	$70	$7.6M
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.	93,700	$40	$3.6M
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…	4,400	$90	$383K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	47,260	$1	$141.8K
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.	360	$20	$8.7K
99053	The provider renders overnight services at a 24 hour facility.	46,780	$0	$0
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	1,420	$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

Acs Primary Care Physicians Louisiana PC — 3 of 6 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
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.	9	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.	5	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.	10	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.	105	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…	15	150	340	$120	$204.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	15	280	1,410	$1	$46.9K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	19	180	130	$1	$1.1K
99053	The provider renders overnight services at a 24 hour facility.	1	20	1,820	$1	$60

Related Providers

Other providers that share a Tax Identification Number (TIN) with Acs Primary Care Physicians Louisiana PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Hebert	LA	Emergency Medical Services (Emergency Medicine) Physician	$87.4K	$0

Nearby Providers

Other providers in the same ZIP code as Acs Primary Care Physicians Louisiana PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christus Health Central Louisiana	LA	General Acute Care Hospital	$0	$30.1M
Rapides Healthcare System, L.L.C.	LA	General Acute Care Hospital	$0	$26.9M
Radiology Associates Of Southwest Louisiana	LA	Diagnostic Radiology Physician	$0	$18.4M
Eckerd Youth Alternatives, Inc. Dba Eckerd Connects	LA	Community/Behavioral Health Agency	$0	$11.8M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M
Rapides Assoc For Retarded Citizens	LA	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Shahid Mansoor Md, Apmc	LA	Pediatrics Physician	$0	$8.2M
Cenla Children's Clinic & Associates	LA	Specialist	$0	$7.6M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$6.1M
Shahid Mansoor, M.d. A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$6M

Acs Primary Care Physicians Louisiana PC — Billing Profile & Reimbursement Data

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Acs Primary Care Physicians Louisiana PC — 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