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.

Cognitive Development Center Of Baton Rouge (NPI 1467745000)

Field	Value
Entity Type	Organization
Organization	Cognitive Development Center Of Baton Rouge
Address	8706 Jefferson Hwy Ste A
City	Baton Rouge
State	LA
ZIP	70809
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 16, 2011

Payer Source	Total Paid
Medicaid	$29M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is reported as $29M. The absence of Medicare activity means analyses of enterprise scale, utilization, and risk should be framed around Medicaid only.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 95.4% of Medicaid revenue, driven by H2017 (45.8%), H0036 (45.1%), and H2033 (4.5%). This concentration indicates most dollars come from a narrow set of programmatic behavioral-health services rather than a broad mix of outpatient medical codes.

Operationally the code mix points to a programmatic, high-frequency behavioral health model: H2017 (181.8K claims, $13.3M revenue) and H0036 (146.9K claims, $13.1M revenue) are both 15-minute, community-oriented treatment/rehabilitation services, suggesting intensive, repeated short-interval encounters typical of psychosocial rehabilitation and community psychiatric support. The presence of H2033 (5.5K claims, $1.3M revenue) signals a targeted juvenile multisystemic therapy offering in addition to adult/community services.

On statewide competitive standing this provider is an extreme outlier for its two largest codes: H2017 ranks #4 of 397 providers in-state (99th percentile; extreme outlier) and H0036 ranks #5 of 461 providers in-state (99th percentile; extreme outlier). Those rankings indicate the provider is a dominant, unusually high-volume supplier of psychosocial rehabilitation and community psychiatric supportive treatment within Louisiana.

Several ancillary codes show above-typical presence even though they are small revenue contributors: 96156 (2.6K claims, $265.6K revenue, 0.9%) ranks #6 of 122 providers (96th percentile; notably above typical), and 90791 (3.8K claims, $169.2K revenue, 0.6%) ranks #28 of 764 (96th percentile; notably above typical). These placements suggest the organization also performs psychological assessments and psychiatric evaluations at volumes above most peers, supporting its broader behavioral-health programming.

Traditional E/M and psychotherapy CPTs are present but constitute minor revenue streams relative to the H-codes: 99213 appears as 11.2K claims and $438.3K revenue (1.5% of Medicaid revenue) and 90837 appears as 6.7K claims and $281.3K revenue (1.0%). This mix shows the center bills some face-to-face evaluation/management and longer psychotherapy sessions, but these are not the primary drivers of Medicaid revenue.

Provider tenure is well-established: the NPI was enumerated on 2011-05-16 (~15 years ago), indicating a long operational history consistent with the scale needed to produce the reported high claim counts for core service lines. That tenure supports the interpretation that high volumes are sustained program operations rather than a short-term spike.

The extreme revenue concentration in two high-volume H-codes (H2017 and H0036 together representing 90.9% of Medicaid revenue and the top three totaling 95.4%) creates operational and payment-policy sensitivity: changes in Medicaid coverage, reimbursement, or utilization controls for these specific service codes could materially affect the provider's revenue. Analysts should prioritize monitoring state policy and auditing focus on these H-codes when evaluating financial or contract risk.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	181,800	$70	$13.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	146,940	$90	$13.1M
H2033	Multisystemic therapy for juveniles, per 15 minutes	5,460	$240	$1.3M
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…	11,240	$40	$438.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6,700	$40	$281.3K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	2,600	$100	$265.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,850	$40	$169.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4,590	$10	$41.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	930	$30	$25.1K
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…	730	$30	$22.7K

Showing 1–10 of 19

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

Cognitive Development Center Of Baton Rouge — 5 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	5	20	2,150	$200	$1.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5	460	5,030	$80	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	4	400	6,490	$60	$958.2K
H2011	Crisis intervention service, per 15 minutes	28	40	520	$240	$409.1K
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…	2,671	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…	502	3,230	1,120	$30	$204.3K
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…	484	1,170	160	$80	$102.7K
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…	337	1,280	180	$50	$64.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	749	1,460	440	$20	$64K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	38	910	440	$40	$61.6K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Cognitive Development Center Of Baton Rouge, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prescribed Pediatric Extended Care, Inc	LA	Medically Fragile Infants and Children Day Care	$0	$40.3M
Baton Rouge General Medical Center	LA	General Acute Care Hospital	$0	$24.3M
Serenity Treatment Center Of Louisiana LLC	LA	Substance Abuse Rehabilitation Facility	$0	$22.4M
Special Needs Unlimited, L.L.C.	LA	Developmental Disabilities Clinic/Center	$0	$22.4M
Caregiver Homes Of Louisiana, Inc	LA	Case Management Agency	$0	$15.9M
Baton Rouge Treatment Center, LLC	LA	Methadone Clinic	$139.4K	$13.5M
Leading Health Care Of La, Inc.	LA	In Home Supportive Care Agency	$0	$12.8M
Alliance Care LLC	LA	In Home Supportive Care Agency	$0	$12.3M
Hometown Senior Care LLC	LA	In Home Supportive Care Agency	$0	$11M
Kredenna Beverly	LA	Pediatric Dentistry	$0	$9.2M

Cognitive Development Center Of Baton Rouge — 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

Nearby Providers

Frequently Asked Questions

References