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.

Opelousas General Hospital Authority (NPI 1447230388)

Key Findings

Field	Value
Entity Type	Organization
Organization	Opelousas General Hospital Authority
Address	539 E Prudhomme St
City	Opelousas
State	LA
ZIP	70570
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicaid	$27.2M
Medicare	$0

This facility has no Medicare billing on file and instead reports $27.2M in lifetime Medicaid revenue, making Medicaid effectively its sole reported public payer; that concentration means the provider’s public-revenue profile is highly dependent on Medicaid reimbursement dynamics rather than a mixed Medicare/Medicaid book of business. Analysts should treat the entity as a Medicaid-focused hospital for payer-strategy and negotiation comparisons.

Revenue is heavily concentrated in emergency department E/M codes: the top three Medicaid codes 99283 ($6.6M, 27.0%), 99284 ($5.4M, 21.9%), and 99285 ($2.8M, 11.3%) together account for 60.3% of the provider’s total Medicaid revenue. This degree of concentration signals that ED visits drive the majority of Medicaid dollars for this hospital and that changes in ED volume or coding could materially affect overall revenue.

Operationally the code mix indicates a high-throughput emergency department supported by on-site diagnostics and medication administration: high-claim ED codes (e.g., 86.9K claims for 99283) sit alongside large-volume administration/injection codes such as 96372 (34.5K claims, $689.8K) and 96374 (20.6K claims, $720.4K). That combination is consistent with a general acute care hospital that manages substantial unscheduled care and provides frequent IV/IM therapies in the ED or observation settings.

The provider shows above-typical statewide performance on a range of lab and respiratory testing codes, indicating robust in-house laboratory capacity: 87637 (11K claims, $1M) ranks #2 of 43 in-state (98th percentile, notably above typical), and respiratory/viral panels such as 87631 and 87502 also appear on the top list. Those placements suggest the hospital performs a large volume of multiplex infectious-disease testing relative to peers, supporting ED throughput during respiratory seasons.

Several ancillary service volumes are extreme or notably high compared with in-state peers, pointing to consistent patient-processing activity: 96372 is an 'extreme outlier' (rank #10 of 787, 99th percentile) for injections, 36415 phlebotomy is at the 98th percentile (97.4K claims), and CMP/CBC panels (80053, 85025) are in the mid-90s percentiles. Collectively this pattern supports a view of high patient turnover with frequent point-of-care interventions and routine labs.

Competitive standing varies by complexity level: for lower-complexity ED visits the hospital ranks as a clear state leader (99283 is #11 of 266, 96th percentile, notably above typical), while for more complex ED care it is a more modest participant (99285 is #70 of 237, 71th percentile). In sum, the provider appears particularly strong in volume for low-to-moderate complexity emergency encounters but not dominant for the highest-complexity ED cases within the state.

Beyond emergency care, imaging and diagnostic services contribute meaningfully to revenue and reflect typical hospital scope: CT head 70450 ($356.6K), CT abdomen/pelvis 74177 ($373.6K), and chest x‑ray codes 71045/71046 appear on the top-25 list, each with typical in-state ranks. These items support a full-service acute-care profile with on-site radiology capabilities that align with ED-driven throughput.

The provider has a long-enumerated NPI (registered 2006-01-18, ~20 years ago), indicating an established operating history; combined with the ED-centric, Medicaid-heavy revenue mix, this suggests an entrenched community hospital role but also a potential sensitivity to Medicaid payment or utilization shifts that would disproportionately affect its overall revenue.

Medicaid: Complete Services Breakdown

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

261 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.	86,950	$80	$6.6M
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.	48,750	$110	$5.4M
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.	18,900	$150	$2.8M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	10,990	$90	$1M
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…	26,430	$30	$766.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,580	$40	$720.4K
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…	34,490	$20	$689.8K
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.	13,780	$50	$689K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	14,840	$40	$652.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	78,480	$10	$549.4K

Showing 1–10 of 261

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

Opelousas General Hospital Authority — 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

261 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.	44	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.	70	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.	11	270	11,250	$90	$1.8M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	50	100	620	$40	$560K
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.	39	100	760	$100	$441.2K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	81	90	650	$40	$404.2K
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.	48	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.	15	170	1,260	$70	$322.4K
0223U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0223U for the…	4	10	460	$340	$310K
87653	The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…	7	30	390	$20	$285.9K

Showing 1–10 of 261

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Robert Menuet	LA	Interventional Cardiology Physician	$780.7K	$0
Kalyan Veerina	LA	Interventional Cardiology Physician	$614.4K	$0
Amit Amin	LA	Interventional Cardiology Physician	$480.7K	$0
John Lindsay	LA	Cardiovascular Disease Physician	$474.7K	$0
David Homan	LA	Interventional Cardiology Physician	$262.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agape Total Care LLC	LA	Personal Care Attendant	$0	$19.1M
Lily Pad Pediatrics, LLC	LA	Rural Health Clinic/Center	$0	$10.7M
Southern Home Care Services, Inc.	LA	Intellectual Disabilities Intermediate Care Facility	$0	$10.6M
Opelousas Emergency Group LLC	LA	Emergency Medicine Physician	$0	$10M
Agape Total Care LLC	LA	Personal Care Attendant	$0	$9M
Louisiana Home Healthcare Partners, LLC	LA	Home Health Agency	$0	$8.9M
Southwest Louisiana Primary Health Care Center, Inc	LA	Federally Qualified Health Center (FQHC)	$0	$8M
Opelousas Dental LLC	LA	General Practice Dentistry	$0	$7.6M
Jodison Prime Care, LLC	LA	Community Based Hospice Care Agency	$0	$6.5M
St Landry Ems	LA	Ambulance	$839.2K	$5.3M

Opelousas General Hospital Authority — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References