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.

West Carroll Health Systems LLC (NPI 1356324362)

Field	Value
Entity Type	Organization
Organization	West Carroll Health Systems LLC
Address	712 Settoon St
City	Oak Grove
State	LA
ZIP	71263
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 23, 2005

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	40,420	$190	$7.8M
H2020	Therapeutic behavioral services, per diem	10,070	$160	$1.6M
1158F	No Summary found for this code	20	$0	$0
1159F	No Summary found for this code	20	$0	$0
11606	The provider excises a cancerous (malignant) lesion, including margins, over 4.0 cm in diameter, from the skin of the trunk, arms, or legs.	660	$0	$0
1160F	No Summary found for this code	20	$0	$0
1170F	The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…	20	$0	$0
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,060	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	450	$0	$0
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…	820	$0	$0

Showing 1–10 of 30

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

West Carroll Health Systems LLC — 0 of 2 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	103	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	57	320	2,270	$90	$637.8K
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…	110	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…	237	3,230	1,120	$30	$204.3K
99204	The provider sees a new 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 provider…	225	1,170	160	$80	$102.7K
99203	The provider sees a new 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 provider…	554	1,280	180	$50	$64.8K
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…	229	380	1,730	$1	$64.6K
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,…	595	1,460	440	$20	$64K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	237	390	380	$20	$50.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	113	790	430	$10	$30.6K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with West Carroll Health Systems LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Carroll Health Systems LLC	LA	Rural Health Clinic/Center	$0	$8.3M
West Carroll Health Systems LLC	LA	Rural Health Clinic/Center	$0	$7.4M
West Carroll Health Systems LLC	LA	General Acute Care Hospital	$0	$6.1M
Ryan Tompkins	FL	Diagnostic Radiology Physician	$496.4K	$0
Caleb Rivera	FL	Diagnostic Radiology Physician	$315.7K	$0
Ralph Abraham	LA	Diagnostic Radiology Physician	$304.6K	$0
Rolando Prieto	FL	Vascular & Interventional Radiology Physician	$235.3K	$0
Michael Rolen	VA	Diagnostic Radiology Physician	$141.3K	$80K
Sameh Sakla	FL	Diagnostic Radiology Physician	$204.2K	$110
Khaled Abu-hamdan	MS	Psychiatry Physician	$183.6K	$0

Nearby Providers

Other providers in the same ZIP code as West Carroll Health Systems LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Carroll Parish Ambulance Service District	LA	Land Ambulance	$376K	$1.6M
Mark Portacci	LA	Family Medicine Physician	$265.7K	$0
Peter Wisniewski	LA	Family Medicine Physician	$18K	$34.3K
Abiodun Kuku	LA	Pediatrics Physician	$17.1K	$8.1K

West Carroll Health Systems LLC — 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