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.

St Martin Hospital, Inc. (NPI 1437482817)

St Martin Hospital, Inc. is a critical access hospital provider located in Breaux Bridge, Louisiana. This profile covers 0 Medicare and 173 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	St Martin Hospital, Inc.
Address	210 Champagne Boulevard
City	Breaux Bridge
State	LA
ZIP	70517
Taxonomy	Critical Access Hospital
NPI Enumerated	September 16, 2009

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

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

173 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	33,800	$110	$3.6M
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.	20,870	$130	$2.7M
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.	6,840	$130	$916.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	13,610	$50	$612.5K
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.	6,450	$90	$580K
0240U	N/A	3,510	$90	$316.2K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	1,810	$110	$206.8K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	3,760	$50	$199.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	6,090	$30	$188.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4,160	$50	$187.2K

Showing 1–10 of 173

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

St Martin Hospital, Inc. — 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

173 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.	99	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.	103	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.	50	270	11,250	$90	$1.8M
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.	80	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	17	30	160	$520	$413.4K
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.	89	150	1,070	$60	$346.2K
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.	33	170	1,260	$70	$322.4K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	54	130	2,800	$30	$258.7K
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…	2,502	2,890	980	$40	$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…	203	210	630	$70	$239.6K

Showing 1–10 of 173

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Ankur Lodha	LA	Interventional Cardiology Physician	$1.2M	$0
Agostino Ingraldi	LA	Interventional Cardiology Physician	$981.3K	$0
Fernando Ruiz	LA	Interventional Cardiology Physician	$871.4K	$0
Siby Ayalloore	LA	Advanced Heart Failure and Transplant Cardiology Physician	$790.5K	$0
Bose Cheeran	LA	Interventional Cardiology Physician	$788.1K	$0
Louis Salvaggio	LA	Interventional Cardiology Physician	$752.9K	$0
Marc Saad	LA	Clinical Cardiac Electrophysiology Physician	$724.1K	$0
Amit Amin	LA	Interventional Cardiology Physician	$480.7K	$0
Ryan Chauffe	FL	Interventional Cardiology Physician	$436.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
We Care Homes Inc	LA	Personal Care Attendant	$0	$27.2M
Extended Family Inc	LA	In Home Supportive Care Agency	$0	$17.1M
We Care Homes Inc	LA	Personal Care Attendant	$0	$7.4M
Golden Rule Care Provider, LLC	LA	Personal Care Attendant	$0	$7M
Activities Of Daily Living Services	LA	In Home Supportive Care Agency	$0	$6.1M
Baymark Health Services Of Louisiana, Inc.	LA	Substance Use Disorder Rehabilitation Clinic/Center	$119.8K	$5.7M
Golden Rule Care Provider, LLC	LA	Adult Companion	$0	$5.5M
Stella Wiltz	LA	Personal Care Attendant	$0	$5M
Warren Degatur	LA	Family Medicine Physician	$247K	$0
Anthony Blanchard	LA	Foot & Ankle Surgery Podiatrist	$71.2K	$1.6K

St Martin Hospital, Inc. — Billing Profile & Reimbursement Data

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St Martin Hospital, Inc. — 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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