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.

Lourdes Physician Group LLC (NPI 1437405883)

Lourdes Physician Group LLC is a family medicine physician provider located in Lafayette, Louisiana. This profile covers 0 Medicare and 158 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	Lourdes Physician Group LLC
Address	4801 Ambassador Caffery Pkwy
City	Lafayette
State	LA
ZIP	70508
Taxonomy	Family Medicine Physician
NPI Enumerated	August 2, 2012

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

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

158 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…	45,530	$40	$1.8M
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…	48,020	$40	$1.7M
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…	38,290	$20	$880.7K
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…	4,000	$90	$343.7K
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…	4,890	$60	$288.3K
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…	8,170	$40	$285.8K
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…	3,690	$70	$243.3K
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…	2,700	$90	$240.4K
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…	2,970	$50	$151.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10,920	$10	$142K

Showing 1–10 of 158

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

Lourdes Physician Group LLC — 3 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

158 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.	206	270	9,980	$110	$2.6M
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.	230	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.	149	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…	58	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…	45	80	120	$610	$246.8K
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…	24	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…	106	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.	38	110	560	$50	$173.1K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	25	30	1,290	$30	$172.6K
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…	50	470	560	$40	$157.3K

Showing 1–10 of 158

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Physician Group LLC	LA	Internal Medicine Physician	$0	$134M
Our Lady Of The Lake Physician Group LLC	LA	Family Medicine Physician	$0	$4.6M
Gerald Miletello	LA	Medical Oncology Physician	$1.3M	$0
Bryan Bienvenu	LA	Hematology & Oncology Physician	$964.2K	$0
Morgan Alpha	LA	Family Nurse Practitioner	$640.2K	$0
Christopher Mccanless	LA	Hematology & Oncology Physician	$405.8K	$0
James Morris	LA	Urology Physician	$359.3K	$430
Pavani Ellipeddi	LA	Medical Oncology Physician	$316.8K	$0
Michael Vanderlick	LA	Hospitalist Physician	$292.4K	$0
Robert Dewitt	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$269.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acadian Ambulance Service, Inc.	LA	Air Ambulance	$38.7M	$422.7M
Pediatric Group Of Acadiana, LLC	LA	Specialist	$0	$57.5M
Leading Health Care Of La	LA	In Home Supportive Care Agency	$0	$57.4M
Our Lady Of Lourdes Regional Medical Center, Inc	LA	General Acute Care Hospital	$0	$54.3M
Sleep Management, L.L.C.	LA	Oxygen Equipment & Supplies (DME)	$0	$41.8M
Medi Trans, LLC	LA	Transportation Broker	$0	$29.8M
L & D Community Care, Inc	LA	In Home Supportive Care Agency	$0	$24.4M
Acadiana Acute Care Associates, LLC	LA	Emergency Medicine Physician	$0	$20.4M
Lourdes After Hours LLC	LA	Urgent Care Clinic/Center	$0	$20.2M
Laboratory Corporation Of America	LA	Clinical Medical Laboratory	$1.9M	$12.4M

Lourdes 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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