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.

North Oaks Physician Group, LLC (NPI 1427035211)

North Oaks Physician Group, LLC is a multi-specialty clinic/center provider located in Hammond, Louisiana. This profile covers 0 Medicare and 167 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	North Oaks Physician Group, LLC
Address	15790 Paul Vega Md Dr
City	Hammond
State	LA
ZIP	70403
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	December 22, 2005

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

167 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…	54,670	$30	$1.7M
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…	56,420	$30	$1.6M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	22,630	$20	$475.3K
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…	6,010	$70	$438.7K
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…	8,870	$40	$390.1K
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…	9,140	$40	$356.3K
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…	8,340	$40	$350.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,970	$90	$258.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4,500	$40	$179.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	38,250	$1	$153K

Showing 1–10 of 167

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

North Oaks Physician Group, LLC — 7 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

167 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	20	90	1,270	$50	$375.3K
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…	46	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…	51	2,890	980	$40	$246.8K
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…	18	190	660	$70	$234.9K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	11	30	1,080	$70	$229.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	22	150	340	$120	$204.6K
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…	82	3,230	1,120	$30	$204.3K
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.	97	110	560	$50	$173.1K
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…	44	470	560	$40	$157.3K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	21	20	90	$290	$142.1K

Showing 1–10 of 167

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Oaks Medical Center, LLC	LA	Rural Acute Care Hospital	$0	$37.5M
North Oaks Medical Center, LLC	LA	General Acute Care Hospital	$0	$18.3M
Philip Beuchert	NY	Diagnostic Radiology Physician	$583.7K	$1.7K
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
James Fernandez	MN	Diagnostic Radiology Physician	$248.1K	$0
Binor Said	FL	Diagnostic Radiology Physician	$235K	$0
Rishi Pathak	LA	Physical Medicine & Rehabilitation Physician	$216.2K	$0
Daniel Dodson	LA	Ophthalmology Physician	$199.4K	$0
James Parker	LA	Cardiovascular Disease Physician	$180.8K	$0
Ronald Pritchard	OK	Diagnostic Radiology Physician	$166.5K	$5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Inc	LA	Developmentally Disabled Services Day Training Agency	$0	$46.6M
Always Tlc, LLC	LA	In Home Supportive Care Agency	$0	$18.8M
North Oaks Pediatric Clinic, L.L.P.	LA	Pediatrics Physician	$0	$14.2M
Choices Coordinated Care Solutions, Inc.	LA	Case Management Agency	$0	$13.9M
Gloss Enterprise	LA	In Home Supportive Care Agency	$0	$13.6M
Wilkinson Care Giving, LLC	LA	In Home Supportive Care Agency	$0	$11.7M
North Oaks Obstetrics & Gynecology	LA	Gynecology Physician	$0	$8.5M
Egan Healthcare Of Northshore, Inc	LA	Home Health Agency	$0	$8.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$7.5M
Northlake Gastroenterology	LA	Specialist	$0	$7.2M

North Oaks Physician Group, LLC — 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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