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.

Wjh Physician Services (NPI 1417966193)

Wjh Physician Services is a internal medicine physician provider located in Marrero, Louisiana. This profile covers 0 Medicare and 83 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Wjh Physician Services
Address	1101 Medical Center Blvd
City	Marrero
State	LA
ZIP	70072
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

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

83 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.	23,560	$80	$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.	31,450	$50	$1.4M
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…	32,600	$30	$1M
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…	17,030	$50	$783.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,130	$50	$198.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,050	$40	$145.9K
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…	2,410	$40	$101.3K
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…	1,500	$60	$92.8K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	1,980	$30	$61.4K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	860	$70	$59.2K

Showing 1–10 of 83

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

Wjh Physician Services — 1 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

83 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.	91	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.	208	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.	56	270	11,250	$90	$1.8M
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.	79	170	1,260	$70	$322.4K
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…	194	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…	169	3,230	1,120	$30	$204.3K
81514	The lab analyst performs the technical lab tests on a vaginal fluid specimen for quantitative real–time amplification of DNA markers for six bacterial species listed in the code descriptor, and…	8	20	360	$120	$201.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	82	470	560	$40	$157.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	115	190	1,000	$30	$139.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	114	190	900	$30	$137.2K

Showing 1–10 of 83

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachael Harmon	AL	Radiation Oncology Physician	$729.3K	$0
Timothy Danish	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$77.2K	$0
Matthew Giordanengo	OR	Family Medicine Physician	$57.2K	$0
Charles Ballay	LA	Otolaryngology Physician	$43.1K	$0
Andrea Germond	LA	Internal Medicine Physician	$39.6K	$0
Stephen Green	LA	Otolaryngology Physician	$24.1K	$0
William Dawson	LA	Diagnostic Radiology Physician	$22K	$0
Richele Creppel	MD	Nurse Practitioner	$8.1K	$0
Susannah Acks	LA	Audiologist	$4.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Jefferson Holdings, LLC	LA	General Acute Care Hospital	$0	$48.5M
New Orleans Physician Services Inc	LA	Internal Medicine Physician	$0	$23.5M
Reliable Pca Agency L.L.C	LA	Nursing Care Agency	$0	$8.8M
David L Schneider Md Apmc	LA	Otolaryngology Physician	$0	$7.1M
Westcare Medical Center, Inc	LA	Clinic/Center	$0	$6.8M
Jeffcare	LA	Federally Qualified Health Center (FQHC)	$0	$6.7M
Michael Haydel Md A Medical Corporation	LA	Pediatrics Physician	$0	$5.8M
Jefferson Parish Public School System	LA	Local Education Agency (LEA)	$0	$5.3M
New Orleans La Uptown West Bank Endoscopy Asc LLC	LA	Ambulatory Surgical Clinic/Center	$222.8K	$699.2K
Shibu Varughese	LA	Internal Medicine Physician	$370.9K	$0

Wjh Physician Services — Billing Profile & Reimbursement Data

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Wjh Physician Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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