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.

Hospital Service District 1 Of East Baton Rouge Parish (NPI 1376591941)

Hospital Service District 1 Of East Baton Rouge Parish is a general acute care hospital provider located in Zachary, Louisiana. This profile covers 0 Medicare and 132 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	Hospital Service District 1 Of East Baton Rouge Parish
Address	6300 Main Street
City	Zachary
State	LA
ZIP	70791
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

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

132 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.	30,070	$90	$2.7M
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.	11,120	$120	$1.3M
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.	16,590	$60	$1M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	3,080	$130	$407.1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,440	$280	$398K
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.	44,430	$10	$311K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,410	$20	$308.5K
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…	47,700	$10	$238.5K
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…	1,140	$200	$231.6K
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.	9,480	$20	$208.4K

Showing 1–10 of 132

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

Hospital Service District 1 Of East Baton Rouge Parish — 1 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

132 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.	77	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.	90	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.	103	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…	44	70	620	$230	$913.4K
87150	The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…	15	20	490	$160	$855.8K
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…	31	60	1,160	$280	$690.6K
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.	85	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…	55	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…	60	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.	77	150	1,070	$60	$346.2K

Showing 1–10 of 132

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Service District 1 Of East Baton Rouge Parish	LA	General Acute Care Hospital	$0	$4.9M
Ernest Thompson	LA	Internal Medicine Physician	$228.9K	$1.5M
Mark Mouton	LA	Internal Medicine Physician	$325.9K	$894.2K
Pradeep Nair	LA	Interventional Cardiology Physician	$649.3K	$0
Vinod Nair	LA	Interventional Cardiology Physician	$596.4K	$0
Babu Jasti	LA	Interventional Cardiology Physician	$535.3K	$0
John Lindsay	LA	Cardiovascular Disease Physician	$474.7K	$0
Mrugesh Soni	VA	Interventional Cardiology Physician	$435.3K	$0
Amit Patel	LA	Interventional Cardiology Physician	$267.5K	$0
Charles Thompson	LA	Interventional Cardiology Physician	$208.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medcomp Sciences LLC	LA	Clinical Medical Laboratory	$45.7K	$12.9M
Bridge Builders Consultants, LLC	LA	In Home Supportive Care Agency	$0	$8.8M
Southeast Community Health Systems	LA	Federally Qualified Health Center (FQHC)	$0	$5.4M
Baron Williamson	LA	Ophthalmology Physician	$392K	$254.8K
Elizabeth Granger	LA	Optometrist	$15K	$619.6K
Michael Oswald	LA	Ophthalmology Physician	$240.6K	$0
Jason Allemond	LA	Optometrist	$81.5K	$146.9K
Narayanan Karayil Thekkoott	LA	Interventional Cardiology Physician	$197.7K	$0
Michael Jelks	LA	Optometrist	$30.2K	$150.2K
Manpreet Singh	LA	Interventional Cardiology Physician	$169.3K	$0

Hospital Service District 1 Of East Baton Rouge Parish — Billing Profile & Reimbursement Data

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Hospital Service District 1 Of East Baton Rouge Parish — 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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