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.

P & L Medical Service (NPI 1417078361)

Field	Value
Entity Type	Organization
Organization	P & L Medical Service
Address	1112 N Carrollton Ave
City	Baton Rouge
State	LA
ZIP	70806
Taxonomy	Home Health Agency
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	199,100	$60	$12.7M
S5125	Attendant care services; per 15 minutes	30,900	$120	$3.7M

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

P & L Medical Service — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	270	490	35,970	$140	$7.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	6	400	33,030	$60	$3M

Nearby Providers

Other providers in the same ZIP code as P & L Medical Service, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Services Of Louisiana, L.L.C.	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$41.1M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$23.8M
Capitol City Family Health Center Incorporated	LA	Federally Qualified Health Center (FQHC)	$0	$21.6M
Independent Living Inc	LA	Home Health Agency	$0	$15.3M
Association For Retarded Citizens Baton Rouge	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.5M
Louisiana Health & Rehabilitation Coptions	LA	Intellectual & Developmental Disabilities Psychologist	$0	$13.6M
Hiv-aids Alliance For Region Two	LA	Federally Qualified Health Center (FQHC)	$0	$12.7M
One Life Health Care, LLC	LA	Community Based Hospice Care Agency	$0	$12.1M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M
4ever Caring,llc	LA	In Home Supportive Care Agency	$0	$11.4M

P & L Medical Service — Billing Profile & Reimbursement Data

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P & L Medical Service — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References