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.

Southern Regional Medical Corporation (NPI 1326485749)

Key Findings

Field	Value
Entity Type	Organization
Organization	Southern Regional Medical Corporation
Address	1978 Industrial Blvd
City	Houma
State	LA
ZIP	70363
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 24, 2013

Payer Source	Total Paid
Medicaid	$31.5M
Medicare	$0

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while Total Medicaid revenue: $31.5M is recorded, indicating Medicaid is the dominant — and for our dataset, sole — public payer for this entity. Analysts should treat any Medicare-based competitive benchmarking as not applicable for this facility given the absence of Medicare claims.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 52.8% of this provider's total Medicaid revenue, with the leading codes being 99284, 99212, and 99213. That level of concentration indicates a relatively narrow set of visit types drives the majority of reported Medicaid receipts.

The claims mix points to a hospital with heavy ambulatory and ED throughput plus substantial primary/outpatient visit volume: 99284 (ED, moderate MDM) appears as a top driver alongside high-volume office visit codes 99212 and 99213. Large claim counts — for example 99212 with 174.4K claims and 99213 with 117.4K claims — suggest extensive outpatient/ambulatory activity operating at scale rather than a narrow procedural specialty.

Competitive standing for routine outpatient E/M is pronounced: 99212 ranks #4 of 1461 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 99213 ranks #30 of 3226 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). These ranks indicate the provider is a major statewide destination for low‑complexity established patient visits under Medicaid.

By contrast, emergency department E/M codes show more typical statewide positions: 99284 (45.4K claims, $5.2M) ranks #53 of 266 (80th percentile; typical, unremarkable volume) and companion ED codes 99283 and 99285 also sit in middling percentiles (81st and 68th respectively). That pattern implies a busy ED that is important locally but not unusually dominant across the state.

Ancillary and lab testing volumes are unusually high, supporting the picture of broad outpatient throughput: 36415 (111.3K claims) ranks #13 of 690 (98th percentile; extreme outlier, far above typical state volume), 80053 (93.8K claims) ranks #10 of 267 (97th percentile; notably above typical state volume), and 85025 (84.1K claims) ranks #17 of 379 (96th percentile; notably above typical state volume). High volumes for 87635 and 87502 (COVID and influenza nucleic acid tests) at the 95th and 92nd percentiles further indicate substantial on‑site infectious disease testing capacity.

The provider also shows capacity for infusion and chemotherapy services: 96413 (chemotherapy) generated $523K and ranks #9 of 41 providers in-state (80th percentile; typical, unremarkable volume), while infusion/administration codes such as 96365 rank #5 of 84 (95th percentile; notably above typical state volume) and 96374 appears at more typical levels. These signals support the presence of an infusion/oncology service line that complements the ED and ambulatory workload.

The facility’s administrative tenure is long enough to suggest operational stability: NPI enumerated (registered) 2013-05-24 (~13 years ago). Coupled with the Medicaid revenue base ($31.5M) and the extreme outlier ranks on several high‑volume outpatient codes, the profile is consistent with a longstanding community acute care hospital with large ambulatory and testing throughput under Medicaid.

Medicaid: Complete Services Breakdown

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

333 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	45,420	$110	$5.2M
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,…	174,440	$30	$5.1M
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…	117,380	$30	$3.6M
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.	33,640	$80	$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.	16,010	$160	$2.5M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	14,730	$60	$898.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	18,860	$40	$754.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	93,820	$10	$750.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4,890	$110	$523K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	84,110	$10	$504.6K

Showing 1–10 of 333

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

Southern Regional Medical Corporation — 11 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

333 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.	53	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.	77	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.	51	270	11,250	$90	$1.8M
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…	30	100	620	$40	$560K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	71	100	760	$100	$441.2K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	47	90	650	$40	$404.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	32	90	1,270	$50	$375.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	97	150	1,070	$60	$346.2K
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.	41	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	18	80	580	$210	$270.6K

Showing 1–10 of 333

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Louisiana Medical Associates	LA	Surgery Physician	$0	$21.3M
Delta Medical Group	LA	Urgent Care Clinic/Center	$0	$7.7M
South Louisiana Medical Associates	LA	Internal Medicine Physician	$0	$7.4M
Terrebonne Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$5.3M
James Crowe	LA	Internal Medicine Physician	$425.9K	$0
Sandra Charpentier	LA	Internal Medicine Physician	$95.1K	$0
Terry Delord	LA	Internal Medicine Physician	$93.5K	$0
Shaminder Gupta	LA	Nephrology Physician	$81.1K	$0
Drew Bienvenu	LA	Emergency Medicine Physician	$44.4K	$0
Corey Dupre	LA	Physician Assistant	$37K	$0

Southern Regional Medical Corporation — 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

Nearby Providers

Frequently Asked Questions

References