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.

Access Health Louisiana (NPI 1487898946)

Field	Value
Entity Type	Organization
Organization	Access Health Louisiana
Address	501 Robert Blvd
City	Slidell
State	LA
ZIP	70458
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 28, 2009

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

108 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	96,510	$100	$10M
H2020	Therapeutic behavioral services, per diem	57,740	$90	$5.2M
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	90	$10	$1.2K
3046F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	170	$1	$170
3045F	N/A	110	$1	$110
00000	N/A	20	$0	$0
1034F	No Summary found for this code	9,110	$0	$0
1036F	N/A	23,050	$0	$0
1111F	No Summary found for this code	40	$0	$0
1159F	No Summary found for this code	90,380	$0	$0

Showing 1–10 of 108

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

Access Health Louisiana — 2 of 5 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

108 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	24	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	8	320	2,270	$90	$637.8K
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…	88	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…	77	3,230	1,120	$30	$204.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	193	360	780	$50	$141.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	215	420	740	$50	$137.3K
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.	214	270	3,140	$10	$111K
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…	186	1,170	160	$80	$102.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	141	490	310	$50	$84.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	133	700	180	$60	$77K

Showing 1–10 of 108

Related Providers

Other providers that share a Tax Identification Number (TIN) with Access Health Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$32.1M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$9.2M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$7.5M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$4.7M
Benjamin Guidry	LA	Ophthalmology Physician	$412.7K	$81.3K
Keisha Harvey	LA	Family Medicine Physician	$38.1K	$264.1K
Joanna Holton	LA	Family Medicine Physician	$133.9K	$0
Jerry Stallings	LA	Family Nurse Practitioner	$107.1K	$0
Darria Bourgeois	LA	Psychiatric/Mental Health Nurse Practitioner	$69.4K	$0
Jillian Ashbolt	LA	Family Nurse Practitioner	$67.9K	$0

Nearby Providers

Other providers in the same ZIP code as Access Health Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's International L.L.C.	LA	Pediatrics Physician	$0	$30.9M
Slidell Memorial Hospital	LA	General Acute Care Hospital	$0	$11.8M
Addiction Counseling And Educational Resources, LLC	LA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8M
Edward Mannina	LA	Radiation Oncology Physician	$652.3K	$0
Daniel Bourgeois	LA	Radiation Oncology Physician	$621.8K	$0
Bruce Iteld	LA	Specialist	$471.5K	$0
Marc Bernstein	LA	Cardiovascular Disease Physician	$398.1K	$0
Daniel Tveit	LA	Nephrology Physician	$227.9K	$0
Sumitha Ganji	LA	Nephrology Physician	$156.3K	$0
Vasanth Bethala	LA	Interventional Cardiology Physician	$147.9K	$0

Access Health Louisiana — Billing Profile & Reimbursement Data

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Access Health Louisiana — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References