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.

Pediatrust Lake Charles, LLC (NPI 1518359165)

Field	Value
Entity Type	Organization
Organization	Pediatrust Lake Charles, LLC
Address	4250 5th Ave
City	Lake Charles
State	LA
ZIP	70607
Taxonomy	Exclusive Provider Organization
NPI Enumerated	February 19, 2015

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	84,260	$130	$11.2M
T2002	Non-emergency transportation; per diem	26,860	$30	$752K
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	9,650	$70	$637K

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

Pediatrust Lake Charles, LLC — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	2	30	24,400	$220	$7M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	2	20	2,050	$130	$465.7K
T2002	Non-emergency transportation; per diem	5	80	5,240	$20	$208.3K

Nearby Providers

Other providers in the same ZIP code as Pediatrust Lake Charles, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leading Health Care Of La	LA	In Home Supportive Care Agency	$0	$36.7M
Lcms Rehabilitation Institute Of Southwest Louisiana	LA	Physical Medicine & Rehabilitation Physician	$0	$5.8M
Savannah Alford	LA	Occupational Therapist	$169.1K	$0
Michaella Cormier	LA	Physical Medicine & Rehabilitation Physician	$123.9K	$0
Isha Lang	LA	Family Nurse Practitioner	$47.1K	$0
Cynthia Cox	LA	Family Nurse Practitioner	$34.3K	$0
Alicia Larocque	LA	Family Nurse Practitioner	$24.8K	$0

Pediatrust Lake Charles, LLC — Billing Profile & Reimbursement Data

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Pediatrust Lake Charles, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References