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.

Riverside Medical Center (NPI 1518955541)

Field	Value
Entity Type	Organization
Organization	Riverside Medical Center
Address	806b Riverside Dr
City	Franklinton
State	LA
ZIP	70438
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	30,910	$180	$5.6M
00000	N/A	40	$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.	220	$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.	600	$0	$0
1159F	No Summary found for this code	1,310	$0	$0
1160F	No Summary found for this code	350	$0	$0
1220F	No Summary found for this code	960	$0	$0
3074F	No Summary found for this code	20	$0	$0
3077F	No Summary found for this code	80	$0	$0
3078F	No Summary found for this code	20	$0	$0

Showing 1–10 of 38

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

Riverside Medical Center — 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	155	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…	306	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…	485	3,230	1,120	$30	$204.3K
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…	366	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.	447	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,…	245	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.	264	490	170	$50	$62K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	59	390	380	$20	$50.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	210	220	390	$10	$34.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	402	790	430	$10	$30.6K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Riverside Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Medical Center	LA	Critical Access Hospital	$0	$9.3M
Farhad Aduli	LA	Interventional Cardiology Physician	$1M	$0
Christopher Keaton	LA	Adult Health Nurse Practitioner	$593.5K	$0
Pramod Menon	LA	Interventional Cardiology Physician	$586.2K	$0
Bruce Iteld	LA	Specialist	$471.5K	$0
Matthew Mcclanahan	LA	Internal Medicine Physician	$258.5K	$0
Hal Lamb	LA	Certified Registered Nurse Anesthetist	$15K	$0

Nearby Providers

Other providers in the same ZIP code as Riverside Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franklinton Association For Challenged Citizens, Inc	LA	Community/Behavioral Health Agency	$0	$9.8M
Mom-4-a-day	LA	Local Education Agency (LEA)	$0	$8.9M
Community Independent Livings, LLC	LA	Community/Behavioral Health Agency	$0	$6.5M
Florida Parishes Resources For Independent Living, LLC	LA	Personal Care Attendant	$0	$6.3M
Christopher Davis	LA	Family Nurse Practitioner	$274.5K	$0
Jeffery Reeves	LA	Physical Therapist	$180.1K	$0
Kelvin Mccain	LA	Physical Therapist	$98.7K	$0
Creel's Family Pharmacy LLC	LA	Pharmacy	$5.2K	$0

Riverside Medical Center — Billing Profile & Reimbursement Data

Sign up for Riverside Medical Center — Billing Profile & Reimbursement Data policy alerts

Riverside Medical Center — Billing Profile & Reimbursement Data

Sign up for Riverside Medical Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References