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.

Access Health Louisiana (NPI 1376784868)

Field	Value
Entity Type	Organization
Organization	Access Health Louisiana
Address	16004 River Rd
City	Norco
State	LA
ZIP	70079
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 13, 2009

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	56,490	$110	$6.3M
H2020	Therapeutic behavioral services, per diem	14,160	$80	$1.2M
3074F	No Summary found for this code	11,480	$1	$11.5K
3078F	No Summary found for this code	11,440	$1	$11.4K
3079F	No Summary found for this code	2,730	$1	$2.7K
3077F	No Summary found for this code	2,650	$1	$2.6K
3075F	No Summary found for this code	1,380	$1	$1.4K
3080F	No Summary found for this code	1,080	$1	$1.1K
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	890	$1	$890
3046F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	790	$1	$790

Showing 1–10 of 76

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

Access Health Louisiana — 0 of 11 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	63	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	43	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…	331	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…	183	3,230	1,120	$30	$204.3K
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.	178	270	3,140	$10	$111K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	94	120	860	$20	$87.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	387	490	310	$50	$84.7K
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…	436	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…	225	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,…	232	1,460	440	$20	$64K

Showing 1–10 of 76

Related Providers

Other providers that share a Tax Identification Number (TIN) with Access Health Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$32.1M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$15.2M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$9.2M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$4.7M
Benjamin Guidry	LA	Ophthalmology Physician	$412.7K	$81.3K
Keisha Harvey	LA	Family Medicine Physician	$38.1K	$264.1K
Joanna Holton	LA	Family Medicine Physician	$133.9K	$0
Jerry Stallings	LA	Family Nurse Practitioner	$107.1K	$0
Darria Bourgeois	LA	Psychiatric/Mental Health Nurse Practitioner	$69.4K	$0
Jillian Ashbolt	LA	Family Nurse Practitioner	$67.9K	$0

Access Health Louisiana — Billing Profile & Reimbursement Data

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Access Health Louisiana — 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

Frequently Asked Questions

References