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.

Magnolia Family Services LLC (NPI 1508982455)

Key Findings

Field	Value
Entity Type	Organization
Organization	Magnolia Family Services LLC
Address	1418 Tiger Dr
City	Thibodaux
State	LA
ZIP	70301
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$31.4M
Medicare	$0

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while total Medicaid revenue is $31.4M, indicating Medicaid is the sole recorded source of federal program revenue for this NPI. Analysts should treat all utilization and revenue exposure as concentrated to Medicaid reimbursement and policy changes.

Revenue concentration is extremely high: the precomputed top three Medicaid codes (H0036, H2017, 96156) account for 94.0% of the provider’s total Medicaid revenue. The three-code concentration is driven principally by H0036 ($21.9M, 69.8%), followed by H2017 ($6.7M, 21.3%) and 96156 ($947.9K, 3.0%), making the business highly dependent on a narrow set of time‑based behavioral health services.

The code mix and high claim volumes point to a community-based behavioral health operating model: H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) has 232.9K claims and H2017 (Psychosocial rehabilitation services, per 15 minutes) has 82.4K claims, which suggests the provider delivers frequent, short-interval, face-to-face supportive and rehabilitation encounters rather than predominantly long individual psychotherapy or medical visits. This operational footprint is consistent with programmatic focus on community psychiatric support and psychosocial rehabilitation.

Competitive standing in-state is strong for H0036 and 96156: H0036 ranks #2 of 461 providers in Louisiana and is labeled an "extreme outlier" at the 100th percentile, while 96156 ranks #1 of 122 providers in-state and is also an "extreme outlier" at the 100th percentile. H2017 is also well above typical state volume (rank #8 of 397, 98th percentile, "notably above typical"), so for multiple high‑revenue service lines this provider is a dominant or major statewide participant.

The provider also reports substantial volumes of diagnostic and psychotherapy-related codes alongside the time-based community services: 90791 has 13.9K claims and $804.9K revenue (2.6%) and ranks #2 of 764 providers in-state (100th percentile, "extreme outlier"), while psychotherapy and E/M codes such as 90834, 90837, 99213 and 99214 appear at lower revenue shares. This mix indicates the organization pairs high-frequency community support/rehab encounters with formal psychiatric evaluations and some traditional outpatient psychotherapy/E/M visits.

The high reliance on time-based H0036/H2017 billing creates concentrated reimbursement risk: with H0036 alone representing $21.9M (69.8%) of Medicaid revenue and the top three codes totaling 94.0% of Medicaid revenue, any policy, coverage, or rate changes affecting these specific codes could materially alter the provider’s revenue profile. Payers and network managers should treat contractual negotiations or programmatic changes for these codes as having outsized financial impact.

This is an established provider with long tenure: the NPI was enumerated 2007-03-22 (~19 years ago), and sustained high claim volumes (e.g., 232.9K H0036 claims) and $31.4M lifetime Medicaid revenue reflect a substantial, enduring presence in Louisiana’s community behavioral health delivery landscape. The combination of longevity and code-level dominance supports classification as a sizable regional behavioral health service provider focused on community-based treatment modalities.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	232,890	$90	$21.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	82,400	$80	$6.7M
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	7,830	$120	$947.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13,880	$60	$804.9K
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…	6,710	$40	$295.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	5,980	$30	$191.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,770	$30	$189.5K
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…	2,660	$70	$172.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,150	$90	$103.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,950	$20	$79.2K

Showing 1–10 of 12

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

Magnolia Family Services LLC — 5 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	2	460	5,030	$80	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	8	400	6,490	$60	$958.2K
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…	958	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…	691	3,230	1,120	$30	$204.3K
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…	446	700	180	$60	$77K
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,…	506	1,460	440	$20	$64K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	46	910	440	$40	$61.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	68	390	180	$50	$49.5K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	1	120	160	$80	$46.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	24	460	310	$20	$26.1K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lafourche Arc	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$41.6M
Leading Health Care Of La, Inc.	LA	In Home Supportive Care Agency	$0	$19.2M
Thibodaux Regional Health System Inc	LA	General Acute Care Hospital	$0	$12.6M
Easter Seals Louisiana Inc.	LA	Case Management Agency	$0	$10.7M
Raja Talluri Md A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$10.6M
The Center For Pediatric And Adolescent Medicine,llc	LA	Pediatric Adolescent Medicine Physician	$0	$9.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$9.3M
Thibodaux Emergency Physicians Group LLC	LA	Emergency Medicine Physician	$0	$7.7M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$7.7M
Touchstone Center, LLC	LA	Behavior Analyst	$0	$5.8M

Magnolia Family Services LLC — Billing Profile & Reimbursement Data

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Magnolia Family Services LLC — 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

Nearby Providers

Frequently Asked Questions

References