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.

Jennings American Legion Hospital, Inc. (NPI 1508240490)

Field	Value
Entity Type	Organization
Organization	Jennings American Legion Hospital, Inc.
Address	805 State St
City	Jennings
State	LA
ZIP	70546
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 10, 2015

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	44,750	$100	$4.6M
1031F	The provider treats a patient who presents with a diagnosis of asthma. The provider interviews the patient or their primary care giver regarding tobacco use and exposure to secondhand smoke within…	140	$0	$0
1034F	No Summary found for this code	2,980	$0	$0
1036F	N/A	10,400	$0	$0
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	20	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	11,600	$0	$0
1170F	The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…	10	$0	$0
3008F	No Summary found for this code	16,480	$0	$0
3016F	The provider uses a systematic screening method to determine if a patient of 18 years or older uses alcohol in an unhealthy manner. He examines the patient for any adverse health outcomes due to…	310	$0	$0
3074F	No Summary found for this code	14,450	$0	$0

Showing 1–10 of 35

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

Jennings American Legion Hospital, 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	89	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…	406	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…	306	3,230	1,120	$30	$204.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	103	110	560	$50	$173.1K
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…	152	1,170	160	$80	$102.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	155	170	270	$70	$87K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	47	110	400	$30	$70.4K
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,…	214	1,460	440	$20	$64K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	17	20	300	$70	$52K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	32	100	180	$50	$50.5K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jennings American Legion Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennings American Legion Hospital, Inc.	LA	General Acute Care Hospital	$0	$5.2M
Jennings American Legion Hospital Inc.	LA	Rural Health Clinic/Center	$0	$5M

Nearby Providers

Other providers in the same ZIP code as Jennings American Legion Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner American Legion Hospital LLC	LA	General Acute Care Hospital	$0	$4.6M
Shane Fontenot	LA	Optometrist	$69.5K	$896.9K
Lam Nguyen	LA	Cardiovascular Disease Physician	$497.4K	$0
Brian Wilder	LA	Internal Medicine Physician	$430.1K	$11K
Jillian Franklin	LA	Optometrist	$78.9K	$172.3K
Patrick Griffith	LA	Internal Medicine Physician	$243.6K	$0
Michael Holland	LA	Specialist	$156.2K	$6.7K
Charles Ray	LA	Internal Medicine Physician	$135.1K	$12.1K
Brad Daigle	LA	Physical Therapist	$126K	$0
Eric Lambousy	LA	Physical Therapist	$118K	$0

Jennings American Legion Hospital, Inc. — Billing Profile & Reimbursement Data

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Jennings American Legion Hospital, 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