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.

Lafourche Arc (NPI 1366594863)

Field	Value
Entity Type	Organization
Organization	Lafourche Arc
Address	100 W Main St
City	Thibodaux
State	LA
ZIP	70301
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$41.6M
Medicare	$0

Key Findings

This provider is effectively a single-payer operation: there is no Medicare billing on file and all reported federal program revenue comes through Medicaid, with total Medicaid revenue of $41.6M. The absence of Medicare activity indicates analysts should treat Medicaid policy and rate changes as the primary drivers of this entity’s financial performance rather than dual-payer dynamics.

Revenue is extremely concentrated in attendant-care billing: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and a single code, S5125, is reported as generating $41.6M (100.0% of the provider’s Medicaid revenue). This concentration means that virtually all Medicaid receipts are tied to one service line, increasing exposure to any reimbursement or utilization shifts affecting that code.

The operational profile implied by the dominant code is hands-on attendant services. S5125 is described as "Attendant care services; per 15 minutes," and the record shows 89.5K claims with a $465 avg paid/claim; together these figures point to a high-volume, time-unit–based caregiving model consistent with the provider’s taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.

Claim-level metrics suggest intensive unit billing and potentially bundled or higher-dollar claims: 89.5K claims at a $465 avg paid/claim produced the $41.6M Medicaid revenue total. Analysts should note that a per-15-minute code yielding this average payment per claim could reflect aggregated claims submission practices, extended sessions billed as single claims, or facility-level reimbursement patterns rather than strictly single 15-minute units.

Statewide competitive standing on the dominant code is above median but not dominant: S5125 ranks #92 of 486 providers in-state (81th percentile), which the dataset characterizes as "typical, unremarkable volume for this code." In plain terms, the provider has an above-average footprint on this service line within Louisiana but is not an outlier or market leader.

The data do not flag the provider as a statistical outlier for volume on its top code; the explicit label is "typical, unremarkable volume." That means utilization and revenue for S5125 fall within normal bounds for in-state peers, reducing the likelihood that unusual billing patterns alone explain its sizeable Medicaid revenue.

Tenure is long enough to establish market presence: the provider’s NPI was enumerated on 2007-01-17 (~19 years ago). This multi-year registration supports interpretation of the observed billing mix as a sustained operational model rather than a short-term anomaly.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	89,530	$470	$41.6M

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

Lafourche Arc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	92	490	35,970	$140	$7.3M

Nearby Providers

Other providers in the same ZIP code as Lafourche Arc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magnolia Family Services LLC	LA	Community/Behavioral Health Agency	$0	$31.4M
Leading Health Care Of La, Inc.	LA	In Home Supportive Care Agency	$0	$19.2M
Thibodaux Regional Health System Inc	LA	General Acute Care Hospital	$0	$12.6M
Easter Seals Louisiana Inc.	LA	Case Management Agency	$0	$10.7M
Raja Talluri Md A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$10.6M
The Center For Pediatric And Adolescent Medicine,llc	LA	Pediatric Adolescent Medicine Physician	$0	$9.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$9.3M
Thibodaux Emergency Physicians Group LLC	LA	Emergency Medicine Physician	$0	$7.7M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$7.7M
Touchstone Center, LLC	LA	Behavior Analyst	$0	$5.8M

Lafourche Arc — Billing Profile & Reimbursement Data

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Lafourche Arc — 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