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.

Our Lady Of The Lake Hospital Inc. (NPI 1366436123)

Key Findings

Field	Value
Entity Type	Organization
Organization	Our Lady Of The Lake Hospital Inc.
Address	5000 Hennessy Blvd
City	Baton Rouge
State	LA
ZIP	70808
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 8, 2005

Payer Source	Total Paid
Medicaid	$205.8M
Medicare	$0

This provider has no Medicare billing on file and reports Total Medicaid revenue of $205.8M, making its commercial/payer footprint effectively dominated by Medicaid rather than a dual Medicare/Medicaid mix. The absence of Medicare activity indicates analysts should treat this profile as a Medicaid-focused operating entity rather than a mixed-payer hospital for Medicare risk or policy changes.

Revenue is heavily concentrated in emergency department E/M codes: the precomputed top-3 Medicaid codes account for 56.5% of this provider's total Medicaid revenue, driven by 99283 ($46M, 25.2%), 99284 ($37.4M, 20.5%), and 99285 ($19.6M, 10.8%). That concentration implies the provider's Medicaid revenue is sensitive to ED visit volume and to reimbursement or utilization changes affecting mid- and high-acuity ED services.

The code mix indicates a strong, ED-centered acute care operation: exceptionally high volumes for 99283, 99284, and 99285 point to large-scale emergency department throughput, while a significant contribution from hospital observation services (G0378: 17.4K claims, $7.3M, 4.0%) shows downstream observation/short-stay utilization tied to ED activity. Together these codes suggest operational emphasis on unscheduled acute care and short-term inpatient observation.

Imaging, diagnostics, and procedural support are material revenue contributors consistent with an acute care hospital handling high ED volumes: CT abdomen/pelvis with contrast 74177 ($7.6M, 4.2%) and CT head 70450 ($6M, 3.3%) appear among the top-revenue codes, and a comprehensive metabolic panel 80053 (259.4K claims, $1.8M, 1.0%) ranks #1 in-state. High paid/claim averages for imaging (e.g., 74177 $1227 avg paid/claim) indicate substantial ancillary service intensity supporting ED and inpatient workflows.

State-level competitive standing is dominant across multiple Medicaid services: 99283 ranks #1 of 266 providers in-state (100th percentile; extreme outlier) and other codes such as G0378, 99212, 99213, 93005, 96375, 96374, and 80053 also rank at or near the top (many at 100th percentile). These ranks and percentiles characterize the hospital as a major Medicaid provider in Louisiana for ED E/M, observation, lab, ECG, and infusion-related services.

Several individual codes are flagged as statistical outliers in state comparisons, which underscores unusually large volume relative to peers: 99283 and 99284 are described as "extreme outlier, far above typical state volume," G0378 is an "extreme outlier, far above typical state volume," and 80053 is likewise an "extreme outlier, far above typical state volume." Analysts should interpret these labels as evidence of exceptional Medicaid activity in those service lines rather than as granular clinical conclusions.

Beyond high-acuity ED care, the provider shows substantial ambulatory and infusion throughput: 99213 (195.3K claims, $5.9M, 3.2%) and 99212 (193.1K claims, $5M, 2.8%) indicate very large outpatient/clinic visit volumes, while infusion/injection series codes 96375 (71.1K claims, $3.5M, 1.9%), 96374 (106.5K claims, $3.2M, 1.8%), and 96372 (73.9K claims, $2.7M, 1.5%) reflect substantial parenteral therapy activity tied to both ED and outpatient services.

The provider has a long tenure in the NPI registry (NPI enumerated 2005-09-08 (~21 years ago)), which, combined with the concentrated Medicaid revenue and top statewide rankings, suggests an established regional presence in Baton Rouge for Medicaid-covered ED, observation, imaging, lab, and infusion services. For competitive or network planning, this profile indicates entrenched Medicaid market share in acute and high-throughput ambulatory lines rather than a Medicare-driven specialty footprint.

Medicaid: Complete Services Breakdown

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

405 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	258,300	$180	$46M
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.	142,750	$260	$37.4M
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.	69,950	$280	$19.6M
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.	6,220	$1,230	$7.6M
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.	56,570	$130	$7.4M
G0378	Hospital observation service, per hour	17,400	$420	$7.3M
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.	17,860	$340	$6M
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…	195,350	$30	$5.9M
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,…	193,080	$30	$5M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	106,490	$50	$4.9M

Showing 1–10 of 405

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

Our Lady Of The Lake Hospital Inc. — 20 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

405 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.	3	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.	12	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.	1	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…	48	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…	22	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…	14	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.	16	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2	30	160	$520	$413.4K
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…	58	90	650	$40	$404.2K
87640	The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.	17	20	690	$20	$359.2K

Showing 1–10 of 405

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Physician Group LLC	LA	Internal Medicine Physician	$0	$134M
Professional Emergency Physician Associates, LLC	LA	Emergency Medicine Physician	$0	$28.4M
Radiology Associates LLC	LA	Diagnostic Radiology Physician	$0	$18.6M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$15.1M
Medlogic,llc	LA	Clinical Medical Laboratory	$0	$13.3M
Baton Rouge Clinic, A Medical Corporation	LA	Internal Medicine Physician	$0	$10.3M
Pathology Group Of Louisiana, A Professional Medical Corporation	LA	Anatomic Pathology & Clinical Pathology Physician	$0	$8.3M
Infusion Partners, LLC	LA	Home Infusion Therapy Pharmacy	$0	$7.3M
Baton Rouge Radiology Group Inc	LA	Diagnostic Radiology Physician	$0	$7.2M
Care One Health LLC	LA	Community/Behavioral Health Agency	$0	$6.4M

Our Lady Of The Lake Hospital Inc. — Billing Profile & Reimbursement Data

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Our Lady Of The Lake Hospital Inc. — 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