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    OpenPayerNPI Medicare & MedicaidUnion Parish Services
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    Union Parish Services — Billing Profile & Reimbursement Data

    NPI 1487192712 · Marion, LA · Substance Abuse Rehabilitation Facility

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    Union Parish Services is a substance abuse rehabilitation facility provider located in Marion, Louisiana. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationUnion Parish Services
    Address100 Mcvicker St
    CityMarion
    StateLA
    ZIP71260
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedFebruary 7, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$34.7M
    Medicare$0

    Key Findings

    UNION PARISH SERVICES is registered as a Substance Abuse Rehabilitation Facility serving Marion, LA, with its NPI enumerated on 2017-02-07 (~9 years ago). This tenure indicates an established operation in the state behavioral health space rather than a very new entrant, which is relevant when assessing historical billing patterns and network relationships.

    This provider has no Medicare billing on file, making it effectively single-payer in public programs; all reported federal program revenue comes from Medicaid. Analysts should treat Medicaid reimbursement dynamics as the primary driver of the organization’s financial performance, since there is no Medicare revenue to diversify payer risk.

    Lifetime reported Medicaid revenue is $34.7M, and the precomputed top-three-code concentration shows that the provider’s Medicaid business is highly concentrated: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. That level of concentration implies a narrowly focused service offering and material exposure if reimbursement or utilization for those specific codes changes.

    All Medicaid billing and revenue are driven by a single dominant code: H2036. The file shows 120.6K claims for H2036, at a $288 avg paid/claim, producing $34.7M in revenue; this aligns the provider’s business model with per-diem alcohol and/or other drug treatment program services rather than a mixed outpatient/medical practice model.

    On in-state competitive standing for H2036, UNION PARISH SERVICES ranks #12 of 57 providers and sits at the 80th percentile. While that rank places the provider above many peers, the dataset characterizes its H2036 volume as "typical, unremarkable volume for this code," suggesting it is a meaningful but not dominant statewide player for per-diem substance use treatment.

    The code mix (100.0% concentrated and dominated by H2036 per-diem billing) implies operational emphasis on continuous or residential-style treatment capacity, which typically requires bed capacity, daily staffing, and programmatic infrastructure. From a utilization-management and cost perspective, per-diem reimbursement makes total revenue sensitive to average length-of-stay and occupancy trends rather than episodic procedure billing.

    Because the provider lacks Medicare revenue and derives $34.7M solely from Medicaid-associated H2036 billing, it carries concentrated payer and service-line risk: changes to state Medicaid policy, per-diem rates, or eligibility could materially impact overall revenue. Analysts evaluating contract negotiations or rate-change exposure should prioritize Medicaid policy shifts and program audits for this code.

    Recommended next analytic steps include reviewing historical claims trends for H2036 to detect growth or decline, examining state Medicaid rate history for per-diem substance use programs, and confirming facility licensure/capacity details to reconcile high claim volumes (120.6K claims) with physical program size. Those follow-ups will clarify whether current revenue levels are driven by high patient volume, long lengths of stay, or other operational factors.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2036Alcohol and/or other drug treatment program, per diem120,590$290$34.7M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Louisiana median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem126042,430$150$11.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Union Parish Services — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana