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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Bayou La Batre Area Health Development Board, Inc. (NPI 1396794426)

Field	Value
Entity Type	Organization
Organization	Bayou La Batre Area Health Development Board, Inc.
Address	12701 Padgett Switch Rd
City	Irvington
State	AL
ZIP	36544
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Key Findings

BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports total Medicaid revenue of $14.9M. The absence of Medicare activity combined with a sizable Medicaid revenue base indicates this FQHC is operating primarily within the Medicaid population rather than serving fee-for-service Medicare beneficiaries.

Revenue is extremely concentrated in a single Medicaid code: T1015 accounts for $14.8M and 99.4% of this provider’s total Medicaid revenue, reflecting that virtually all billing value is captured under the all-inclusive clinic visit/encounter code. This concentration suggests the organization bills bundled primary care or wraparound encounter payments typical of FQHCs rather than generating significant separate procedure- or specialty-based reimbursement.

The provider’s operational profile aligns with core FQHC services: the dominance of T1015 (Clinic visit/encounter, all-inclusive) plus supplemental preventive and pediatric-oriented codes (for example, multiple vaccine codes and well-child preventive visit codes appearing in the top claims list) indicate a primary-care and community-health focus with immunizations, prenatal/postpartum care, developmental and sensory screening, and behavioral health support. These code patterns are consistent with a comprehensive ambulatory safety-net clinic model.

Despite the single-code revenue concentration, BAYOU LA BATRE ranks highly by volume for that code in-state: T1015 ranks #9 of 243 providers in Alabama and is in the 97th percentile, which the dataset labels as "notably above typical state volume for this code." That ranking implies the clinic is a major state-level provider of FQHC-style encounter visits and likely captures a meaningful share of Medicaid primary-care access in its service area.

Several other Medicaid codes show routine but small-volume activity and percentile ranks that are unremarkable: H1000 (prenatal at-risk assessment) and G9357 (post-partum screenings) both rank in the 84th percentile for their respective code sets, described as typical, unremarkable volume. Behavioral-health codes (90837, 90834, 90791) and preventive/vaccination codes appear across the top list but each represents tiny shares of revenue, supporting the interpretation that these services are delivered within encounters rather than as primary revenue drivers.

The provider’s NPI was enumerated on 2006-05-08 (~20 years ago), indicating long tenure in the market. This longevity, combined with its high in-state ranking on T1015, suggests an established local footprint and operational stability as a Medicaid-facing FQHC.

Certain high-claim codes with $0 reported paid-per-claim in the dataset (for example 99213, 99214, 96110, 99173, 92551, 99392, 99212) appear with large claim counts but zero revenue reported here; these likely reflect either bundling under T1015 or differences in how encounter payments and fee codes are reported for FQHCs. Analysts should treat raw claim counts for those codes cautiously and prioritize the all-inclusive encounter reimbursement when modeling revenue.

Medicaid: Complete Services Breakdown

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

69 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	131,020	$110	$14.8M
H1000	Prenatal care, at-risk assessment	840	$60	$47.7K
G9357	Post-partum screenings, evaluations and education performed	420	$50	$22.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,550	$10	$7.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	270	$10	$3.5K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	70	$40	$2.4K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	70	$30	$1.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	1,750	$1	$1.7K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	50	$30	$1.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	240	$10	$1.2K

Showing 1–10 of 69

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Bayou La Batre Area Health Development Board, Inc. — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

69 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	9	240	6,820	$120	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	72	180	100	$120	$381.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	116	380	440	$90	$362K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	41	120	500	$50	$317.7K
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…	46	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	254	330	140	$240	$197.4K
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…	35	1,990	560	$40	$185.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	52	110	240	$60	$175.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	80	270	1,360	$60	$159.7K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	16	50	380	$90	$157.3K

Showing 1–10 of 69

Nearby Providers

Other providers in the same ZIP code as Bayou La Batre Area Health Development Board, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	AL	Clinical Medical Laboratory	$5.1K	$121.1K
Lisa Parnell	AL	Occupational Therapist	$54.5K	$0
Viengxay Malavong	AL	Family Medicine Physician	$18.7K	$0
Bayou Pharmacy LLC	AL	Community/Retail Pharmacy	$10.1K	$0

Bayou La Batre Area Health Development Board, Inc. — Billing Profile & Reimbursement Data

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Bayou La Batre Area Health Development Board, 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