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.

Southwest Louisiana Primary Health Care Center, Inc (NPI 1508213000)

Field	Value
Entity Type	Organization
Organization	Southwest Louisiana Primary Health Care Center, Inc
Address	920 N Main St
City	Opelousas
State	LA
ZIP	70570
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 16, 2016

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	59,470	$130	$8M
3008F	No Summary found for this code	5,420	$0	$0
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	220	$0	$0
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	1,060	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	570	$0	$0
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	1,840	$0	$0
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	30	$0	$0
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	2,200	$0	$0
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	2,360	$0	$0
86318	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen, such as blood, for antibodies to an unspecified infectious agent.	640	$0	$0

Showing 1–10 of 62

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

Southwest Louisiana Primary Health Care Center, Inc — 0 of 1 code 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	59	810	4,280	$110	$1.8M
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…	1,651	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…	142	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…	32	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…	55	420	740	$50	$137.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	64	490	310	$50	$84.7K
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,…	837	1,460	440	$20	$64K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	57	490	170	$50	$62K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	55	480	630	$10	$37K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	582	840	440	$20	$36.6K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Louisiana Primary Health Care Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Louisiana Primary Health Care Center, Inc	LA	Community Health Clinic/Center	$0	$5.9M

Nearby Providers

Other providers in the same ZIP code as Southwest Louisiana Primary Health Care Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opelousas General Hospital Authority	LA	General Acute Care Hospital	$0	$27.2M
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
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

Southwest Louisiana Primary Health Care Center, Inc — Billing Profile & Reimbursement Data

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Southwest Louisiana Primary Health Care Center, Inc — 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