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.

Ochsner Bayou LLC (NPI 1396761805)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ochsner Bayou LLC
Address	4608 Highway 1
City	Raceland
State	LA
ZIP	70394
Taxonomy	Critical Access Hospital
NPI Enumerated	July 15, 2006

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

This provider is effectively a Medicaid-focused facility: there is no Medicare billing on file and total Medicaid revenue is $29.2M, so Medicaid represents the entirety of recorded public-program revenue. The provider's NPI was enumerated on 2006-07-15 (≈20 years ago), indicating a long-standing presence in the market.

Revenue is highly concentrated in a small set of emergency-department evaluation-and-management codes: the top three Medicaid codes (99284, 99285, 99283) account for 61.3% of the provider's Medicaid revenue. The largest single code, 99284, generates $9.3M (35.3% of Medicaid revenue), signaling that a single service line is the primary revenue driver.

The code mix points to a facility that operates as an emergency-care hub with substantial ambulatory throughput: 99284 ($9.3M), 99285 ($3.5M) and 99283 ($3.4M) are the top revenue generators and all describe ED evaluation and management at varying decision-making levels. Supporting procedures and diagnostics commonly billed alongside ED care — such as CT head 70450 ($666.6K), CT abdomen/pelvis 74177 ($418.7K), and IV-related codes 96361/96374/96375 — reinforce the characterization of an acute-care hospital with on-site imaging and infusion capabilities.

While the ED dominates revenue, the provider also records notably high outpatient/clinic volume: 99213 shows 60.7K claims and $2.1M (7.8% of Medicaid revenue) and ranks in the 98th percentile in-state, described as "notably above typical state volume." This suggests a parallel ambulatory practice footprint for established-patient visits in addition to emergency services, contributing meaningfully to overall Medicaid revenue.

Laboratory and infectious-disease testing volumes are elevated in several categories. Multiplex influenza testing 87502 has 17.4K claims, $1.1M revenue (4.2%) and ranks #13 of 206 providers in-state (94th percentile; notably above typical state volume), and molecular COVID testing 87635 has 17.2K claims and $686.6K (2.6%) and is ranked in the 95th percentile (noted in the file as "typical, unremarkable volume" despite the high rank), together indicating a high-throughput on-site or closely affiliated lab supporting acute respiratory diagnostics.

Several procedural administration and point-of-care procedure codes are outliers relative to peers: medication injection 96372 has 20.9K claims, $816.7K revenue (3.1%) and ranks #22 of 787 providers (97th percentile; notably above typical), while other IV/infusion codes (96374, 96375, 96361) also appear in the top 25 with substantive claim counts and revenue. These patterns are consistent with frequent ED or short-stay treatment encounters requiring parenteral therapies.

State-level competitive standing is mixed: for the top ED codes the provider ranks in the mid-to-upper percentiles but is not a dominant statewide leader — 99284 ranks #63 of 266 (77th percentile; "typical, unremarkable volume"), 99285 ranks #82 of 237 (66th percentile; "typical, unremarkable volume"), and 99283 ranks #83 of 266 (69th percentile; "typical, unremarkable volume"). Taken together, these rankings describe a meaningful regional ED presence but not a dominant market share among Louisiana Medicaid providers.

Medicaid: Complete Services Breakdown

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

192 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.	35,390	$260	$9.3M
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.	14,060	$250	$3.5M
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.	20,820	$160	$3.4M
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…	60,720	$30	$2.1M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	17,400	$60	$1.1M
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…	20,940	$40	$816.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	17,160	$40	$686.6K
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.	3,380	$200	$666.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	8,140	$70	$553.7K
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…	11,090	$40	$432.3K

Showing 1–10 of 192

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

Ochsner Bayou LLC — 2 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

192 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.	63	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.	82	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.	83	270	11,250	$90	$1.8M
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…	29	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.	45	100	760	$100	$441.2K
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.	43	150	1,070	$60	$346.2K
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.	64	170	1,260	$70	$322.4K
87653	The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…	29	30	390	$20	$285.9K
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…	39	130	2,800	$30	$258.7K
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…	314	2,890	980	$40	$246.8K

Showing 1–10 of 192

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Bellows	CO	Surgery Physician	$637.6K	$0
Victor Weaver	AZ	Family Medicine Physician	$157.7K	$0
Robert Crochet	LA	Certified Registered Nurse Anesthetist	$16.6K	$0
Ardis Hassenboehler	LA	Certified Registered Nurse Anesthetist	$14.3K	$0
Jonah Borskey	LA	Certified Registered Nurse Anesthetist	$13.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Wong	LA	Cardiovascular Disease Physician	$220.7K	$0
Lindsey Champagne	LA	Nurse Practitioner	$74.9K	$0
Heath Matherne	LA	Chiropractor	$42.2K	$0
John King	LA	Internal Medicine Physician	$35.1K	$390
Caroline Boone	LA	Hand Occupational Therapist	$26.5K	$0

Ochsner Bayou LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References