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.

Franklin Parish Hospital Service Dist 1 (NPI 1356399539)

Franklin Parish Hospital Service Dist 1 is a rural acute care hospital provider located in Winnsboro, Louisiana. This profile covers 0 Medicare and 160 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Franklin Parish Hospital Service Dist 1
Address	2106 Loop Rd
City	Winnsboro
State	LA
ZIP	71295
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

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

160 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.	12,570	$240	$3M
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.	7,100	$300	$2.2M
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.	10,840	$150	$1.7M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	1,810	$340	$618.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	6,510	$60	$416.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7,480	$50	$351.5K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	7,670	$40	$330K
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…	7,260	$40	$283K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	7,350	$40	$272.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,970	$60	$246K

Showing 1–10 of 160

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

Franklin Parish Hospital Service Dist 1 — 5 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

160 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.	125	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.	101	240	4,030	$130	$2M
T1015	Clinic visit/encounter, all-inclusive	775	810	4,280	$110	$1.8M
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.	137	270	11,250	$90	$1.8M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	47	70	620	$230	$913.4K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	25	60	1,160	$280	$690.6K
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…	38	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.	78	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…	23	90	650	$40	$404.2K
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.	76	150	1,070	$60	$346.2K

Showing 1–10 of 160

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franklin Parish Hospital Service Dist 1	LA	Rural Health Clinic/Center	$0	$29.4M
Manish Dhawan	LA	Hematology & Oncology Physician	$870.9K	$24.3K
Ryan Tompkins	FL	Diagnostic Radiology Physician	$496.4K	$0
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K
Khaldoun Soudan	LA	Nephrology Physician	$353.2K	$0
Padam Hirachan	MS	Nephrology Physician	$352.4K	$190
Caleb Rivera	FL	Diagnostic Radiology Physician	$315.7K	$0
Martin Degravelle	LA	Orthopaedic Hand Surgery Physician	$309.5K	$0
Ralph Abraham	LA	Diagnostic Radiology Physician	$304.6K	$0
David Colvin	WI	Family Medicine Physician	$275.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast La Ambulance Svc LLC	LA	Ambulance	$1.5M	$14.6M
Winnsboro Medical Clinic	LA	Occupational Therapist	$0	$5.2M
Jimmy Coughran	LA	Family Medicine Physician	$527.8K	$0
Charles Reed	LA	Family Medicine Physician	$304.8K	$0
Chad Porter	LA	Diagnostic Radiology Physician	$136.7K	$0
Nicholas Guilbeau	LA	Physical Therapist	$121K	$0
Jon Richardson	LA	Physical Therapist	$117.8K	$0
Jed Robinson	LA	Urology Physician	$115.5K	$0
John Ulmer	LA	Family Nurse Practitioner	$78.7K	$0
Billie Bailey	LA	Family Nurse Practitioner	$76.5K	$0

Franklin Parish Hospital Service Dist 1 — Billing Profile & Reimbursement Data

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Franklin Parish Hospital Service Dist 1 — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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