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.

Rapides Healthcare System, L.L.C. (NPI 1477500015)

Key Findings

Field	Value
Entity Type	Organization
Organization	Rapides Healthcare System, L.L.C.
Address	211 4th St
City	Alexandria
State	LA
ZIP	71301
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$26.9M
Medicare	$0

This provider is effectively single‑payer in the available federal data: Medicare revenue is none (no Medicare billing on file) while reported Medicaid revenue totals $26.9M. That concentration of documented billing to Medicaid shapes how analysts should interpret service mix, utilization patterns, and competitive position because there is no parallel Medicare dataset to compare against.

Revenue is highly concentrated: the precomputed top three Medicaid codes (99283, 99284, 74177) account for 48.3% of this provider's total Medicaid revenue. Individually, 99283 contributes $4.5M (19.9%) and 99284 contributes $4.4M (19.7%), while 74177 contributes $2M (8.7%), showing a small number of high‑revenue services dominate overall flows.

The code mix signals an emergency‑department–centric acute care operation with substantial high‑cost imaging. Large claim volumes for ED E/M codes — 99283 with 112K claims and 99284 with 78.8K claims — plus a high‑paid imaging code 74177 at $822 avg paid/claim (2.4K claims) indicate that ED visits and CT abdomen/pelvis studies are primary revenue drivers and likely a core service line for the hospital.

Laboratory and infusion throughput are also significant contributors to Medicaid revenue and suggest high ancillary volume alongside ED services. The provider reports 129.8K claims for 85027 (CBC) generating $648.9K and ranks #1 in‑state (100th percentile; extreme outlier), plus 15.5K claims for 87633 producing $990.7K (rank #3; 97th percentile), and 17.7K claims for J7030 (normal saline) producing $636.1K (rank #2; 99th percentile), which together point to very large lab and infusion workflows relative to peers.

State competitive standing is strong for key ED and lab codes: 99283 ranks #7 of 266 providers in‑state (98th percentile; extreme outlier) and 99284 ranks #17 of 266 (94th percentile; notably above typical), indicating unusually high ED volumes compared with other Louisiana providers. Complementary dominance in ancillary items (85027 rank #1 of 122, 100th percentile; J7030 rank #2 of 74, 99th percentile) further supports the view that this hospital is a major local provider of emergency, lab, and infusion services.

While emergency and imaging codes drive top revenue, the broader outpatient and imaging portfolio shows meaningful activity across moderate‑value services. Examples include 99213 with 50.5K claims ($1.7M, 7.6% of Medicaid revenue), 70450 with 6.6K claims ($1.4M, 6.2%), and chest radiographs 71046 with 13.9K claims ($625.9K, 2.8%), indicating the hospital also handles high volumes of routine outpatient visits and diagnostic imaging beyond ED care.

The heavy concentration of Medicaid revenue in a small number of codes creates operational sensitivity: nearly half of Medicaid revenue is tied to ED evaluation codes and a single CT code, so changes in ED visit volume, state Medicaid E/M or imaging reimbursement, or clinical pathways that reduce CT utilization could materially affect topline Medicaid receipts. Analysts should treat utilization shifts in 99283/99284 and 74177 as potential levers for sizable revenue impact.

The provider has an established footprint: NPI enumerated on 2006-05-28 (~20 years ago), indicating long tenure in the market. Combined with the high percentile rankings on multiple codes, the data portray an entrenched, Medicaid‑focused acute care hospital with sustained high ED, lab, and imaging throughput relative to in‑state peers.

Medicaid: Complete Services Breakdown

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

231 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.	111,960	$40	$4.5M
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.	78,840	$60	$4.4M
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.	2,380	$820	$2M
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…	50,500	$30	$1.7M
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.	6,580	$210	$1.4M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	15,480	$60	$990.7K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	129,770	$10	$648.9K
J7030	Infusion, normal saline solution , 1000 cc	17,670	$40	$636.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	13,910	$50	$625.9K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	4,920	$130	$614.4K

Showing 1–10 of 231

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

Rapides Healthcare System, L.L.C. — 6 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

231 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.	17	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.	148	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.	7	270	11,250	$90	$1.8M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	3	70	620	$230	$913.4K
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…	52	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.	25	100	760	$100	$441.2K
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.	23	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.	36	170	1,260	$70	$322.4K
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,…	8	30	390	$20	$285.9K
G0378	Hospital observation service, per hour	12	80	580	$210	$270.6K

Showing 1–10 of 231

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Price	LA	Physician Assistant	$3.4M	$0
Duncan Guedon	MS	Obstetrics & Gynecology Physician	$8.1K	$1.7M
William Crenshaw	LA	Orthopaedic Surgery Physician	$394.8K	$340
Syed Rizvi	LA	Interventional Cardiology Physician	$194.3K	$0
Cynthia Chapman	LA	Family Nurse Practitioner	$160.6K	$0
Mark Porta	LA	Internal Medicine Physician	$156.5K	$0
Charles Ugokwe	LA	Neurology Physician	$127.4K	$24.7K
Narendra Duddyala	TX	Clinical Cardiac Electrophysiology Physician	$150.3K	$0
Muhammad Asif Mangi	LA	Interventional Cardiology Physician	$136.4K	$0
Sin Min Yeoh	KY	Oral & Maxillofacial Surgery (D.M.D.)	$10K	$108.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christus Health Central Louisiana	LA	General Acute Care Hospital	$0	$30.1M
Acs Primary Care Physicians Louisiana PC	LA	Emergency Medicine Physician	$0	$20.6M
Radiology Associates Of Southwest Louisiana	LA	Diagnostic Radiology Physician	$0	$18.4M
Eckerd Youth Alternatives, Inc. Dba Eckerd Connects	LA	Community/Behavioral Health Agency	$0	$11.8M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M
Rapides Assoc For Retarded Citizens	LA	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Shahid Mansoor Md, Apmc	LA	Pediatrics Physician	$0	$8.2M
Cenla Children's Clinic & Associates	LA	Specialist	$0	$7.6M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$6.1M
Shahid Mansoor, M.d. A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$6M

Rapides Healthcare System, L.L.C. — 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