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 Clinic LLC (NPI 1407848443)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ochsner Clinic LLC
Address	10310 The Grove Blvd
City	Baton Rouge
State	LA
ZIP	70836
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 16, 2005

Payer Source	Total Paid
Medicaid	$32.2M
Medicare	$0

This entity is effectively a Medicaid-focused practice: there is no Medicare billing on file and lifetime Medicaid revenue is $32.2M, making Medicaid the sole recorded payer revenue stream for this provider. The provider has been enumerated since 2005-08-16 (~21 years ago), indicating long-standing participation in the Medicaid program.

Revenue is highly concentrated in a small set of outpatient E/M codes: the top three Medicaid codes (99214, 99213, 99204) account for 61.6% of this provider's total Medicaid revenue. In particular, 99214 alone produced $9.2M (32.0% of total Medicaid revenue) on 204K claims at $45 avg paid/claim, and 99213 produced $6.5M (22.6%) on 175K claims at $37 avg paid/claim, signaling that a large share of revenue derives from high-volume office visits.

The code mix points to a high-volume primary care / outpatient clinic model consistent with the listed taxonomy (Internal Medicine Physician): dominant use of established patient E/M codes (99214, 99213) plus new-patient visits (99204, 99203) and multiple preventive medicine codes (99391, 99392, 99395) suggests routine longitudinal care, annuals, and substantial visit throughput. Preventive codes such as 99391 (21.4K claims, $1.3M revenue) and 99392 (14.8K claims, $992.5K revenue) indicate significant investment in wellness visits alongside problem-focused care.

The provider is a major statewide volume leader for core outpatient E/M services: 99214 ranks #7 of 2894 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 99213 ranks #17 of 3226 (100th percentile; extreme outlier). 99204 also ranks highly (#10 of 1172, 99th percentile; extreme outlier), together signalling that this organization is a dominant local provider of office-based evaluation and management.

Beyond E/M, the practice reports meaningful ancillary and imaging activity that broadens its service footprint: cardiac imaging codes such as 93306 ($1.2M revenue, 12.3K claims) and 93303 ($830.1K revenue, 7.4K claims) appear in the top codes, and multiple obstetric ultrasound codes (76819, 76816, 76811) and a delivery management code 59409 ($444.9K revenue) indicate capacity for both cardiology diagnostics and perinatal services. These procedural lines are less dominant individually but demonstrate operational breadth beyond primary care E/M.

Several high-volume codes are flagged as statistical outliers or notably above typical state volume in their respective rank/percentile descriptions: for example, 99395 (7.4K claims, $400.2K revenue) ranks #6 of 450 providers (99th percentile; extreme outlier) and 99203 (14.9K claims, $746.9K revenue) ranks #19 of 1283 (99th percentile; notably above typical). These labels suggest utilization patterns that are unusually large relative to in-state peers for those services.

From a payer-operations perspective, the combination of extremely high claim counts for office visits (e.g., 204K claims for 99214) and concentration of revenue in a few E/M codes makes reimbursements sensitive to changes in E/M policy or utilization management. Because the provider reports no Medicare activity, Medicaid policy changes or network decisions will disproportionately affect the provider’s total revenue profile and access for its patient panel.

Medicaid: Complete Services Breakdown

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

227 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	204,010	$50	$9.2M
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…	174,960	$40	$6.5M
99204	The provider sees a new 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 provider…	24,930	$80	$2M
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…	21,440	$60	$1.3M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	12,270	$100	$1.2M
99392	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…	14,810	$70	$992.5K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	7,410	$110	$830.1K
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…	14,940	$50	$746.9K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	17,890	$40	$679.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	16,360	$40	$572.5K

Showing 1–10 of 227

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 Clinic LLC — 15 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

227 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.	260	270	9,980	$110	$2.6M
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	11	30	150	$520	$631.5K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	6	30	2,260	$110	$460.1K
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.	40	100	760	$100	$441.2K
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…	54	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.	45	150	1,070	$60	$346.2K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	14	50	590	$110	$249.9K
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…	7	2,890	980	$40	$246.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	10	80	120	$610	$246.8K
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…	149	210	630	$70	$239.6K

Showing 1–10 of 227

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsu Health Sciences Center Shreveport Faculty Group Practice	LA	Family Medicine Physician	$0	$235.7M
Ochsner Clinic Foundation	LA	General Acute Care Hospital	$0	$166.7M
Ochsner Clinic LLC	LA	General Practice Physician	$0	$152.6M
University Health Shreveport LLC	LA	General Acute Care Hospital	$0	$98.1M
Brfhh Shreveport LLC	LA	General Acute Care Hospital	$0	$6.3M
Acme Medical Supplies, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$5.3M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Siddhartha Rao	NC	Interventional Cardiology Physician	$944.7K	$0
Clifford Tillman	LA	Gastroenterology Physician	$439.4K	$268.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Hall	LA	Diagnostic Radiology Physician	$441.4K	$18.8K
Nicholas Frank	LA	MOHS-Micrographic Surgery Physician	$237.4K	$4.2K
Paul Walker	LA	Urology Physician	$104.8K	$0
Stephanie Andry	LA	Physical Therapist	$57.4K	$0
Glenn Gomes	LA	Pulmonary Disease Physician	$45.3K	$0
Mindy Bowie	LA	Surgery Physician	$36.9K	$0
Samita Das	LA	Pain Medicine (Anesthesiology) Physician	$30K	$0
Bern Lee	LA	Clinical Neuropsychologist	$19.8K	$0
Christie Gautreau	LA	Certified Registered Nurse Anesthetist	$2.6K	$0
Brittni Tullier	LA	Metabolic Nutrition Registered Dietitian	$1.4K	$0

Ochsner Clinic LLC — Billing Profile & Reimbursement Data

Sign up for Ochsner Clinic LLC — Billing Profile & Reimbursement Data policy alerts

Ochsner Clinic LLC — Billing Profile & Reimbursement Data

Sign up for Ochsner Clinic LLC — Billing Profile & Reimbursement Data policy alerts

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