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.

Children's Clinic Of Southwest Louisiana, Inc. (NPI 1548287584)

Children's Clinic Of Southwest Louisiana, Inc. is a pediatrics physician provider located in Lake Charles, Louisiana. This profile covers 0 Medicare and 87 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Children's Clinic Of Southwest Louisiana, Inc.
Address	2903 1st Ave
City	Lake Charles
State	LA
ZIP	70601
Taxonomy	Pediatrics Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicaid	$24M
Medicare	$0

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

87 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	96,910	$60	$6.1M
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…	137,940	$40	$5.9M
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…	30,340	$60	$1.7M
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…	25,730	$60	$1.6M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4,070	$280	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	17,500	$60	$1.1M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	57,700	$10	$807.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10,700	$70	$706.3K
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,…	20,240	$30	$587K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	39,600	$10	$554.4K

Showing 1–10 of 87

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

Children's Clinic Of Southwest Louisiana, Inc. — 15 of 25 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

87 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6	20	1,890	$280	$1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	9	20	5,680	$100	$863.1K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	7	20	600	$90	$381.2K
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…	19	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…	24	3,230	1,120	$30	$204.3K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	3	10	110	$680	$154.4K
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…	7	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…	7	420	740	$50	$137.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	372	750	760	$30	$135.9K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	222	260	800	$10	$96.7K

Showing 1–10 of 87

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Louisiana Hospital Association Inc	LA	General Acute Care Hospital	$0	$42.9M
Swla Center For Health Services	LA	Federally Qualified Health Center (FQHC)	$0	$33.2M
Heaven-on-earth Network, Inc.	LA	Personal Care Attendant	$0	$20.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$16.8M
The Pathology Laboratory, Inc.	LA	Clinical Medical Laboratory	$1.6M	$13.7M
All About You Home Healthcare Inc	LA	In Home Supportive Care Agency	$0	$11.3M
Professional Emergency Medicine Management -- Lake Charles LLC	LA	Emergency Medicine Physician	$0	$10.8M
Compassionate Covenant Adult Day Health Care Inc.	LA	Adult Day Care Clinic/Center	$0	$10.6M
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$10.2M
Sound Physicians Emergency Medicine Of Louisiana Inc	LA	Emergency Medicine Physician	$0	$9M

Children's Clinic Of Southwest Louisiana, Inc. — Billing Profile & Reimbursement Data

Sign up for Children's Clinic Of Southwest Louisiana, Inc. — Billing Profile & Reimbursement Data policy alerts

Children's Clinic Of Southwest Louisiana, Inc. — Billing Profile & Reimbursement Data

Sign up for Children's Clinic Of Southwest Louisiana, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References