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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Lourdes Hospital LLC (NPI 1548342181)

Field	Value
Entity Type	Organization
Organization	Lourdes Hospital LLC
Address	1175 Carondelet Dr
City	Richland
State	WA
ZIP	99354
Taxonomy	Psychiatric Hospital
NPI Enumerated	October 20, 2006

Payer Source	Total Paid
Medicaid	$22.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 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…	46,230	$90	$4M
H0004	Behavioral health counseling and therapy, per 15 minutes	38,240	$100	$3.8M
S9485	Crisis intervention mental health services, per diem	7,560	$430	$3.2M
H2015	Comprehensive community support services, per 15 minutes	40,800	$70	$2.9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	9,010	$220	$2M
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…	15,110	$70	$1.1M
T1001	Nursing assessment / evaluation	12,710	$90	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,320	$140	$1M
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…	8,520	$60	$485.7K
H0033	Oral medication administration, direct observation	25,050	$20	$425.9K

Showing 1–10 of 53

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

Claims Volume vs. Washington Distribution

Lourdes Hospital LLC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	16	20	750	$50	$5.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	29	60	8,670	$280	$4.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	79	100	2,830	$80	$3.8M
S9485	Crisis intervention mental health services, per diem	7	20	3,730	$310	$1.8M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	24	50	4,000	$60	$1.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	131	170	2,120	$40	$779.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	17	320	2,080	$60	$495.5K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	2	10	1,590	$300	$472.1K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	112	220	2,880	$50	$431K
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…	47	1,820	480	$60	$379.6K

Showing 1–10 of 53

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lourdes Hospital LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lourdes Hospital LLC	WA	Critical Access Hospital	$0	$34M
Lourdes Hospital LLC	WA	Internal Medicine Physician	$0	$8.7M
William Forsythe	WA	Emergency Medicine Physician	$667.6K	$0
Barbara Blankenship	WA	Diagnostic Radiology Physician	$380.6K	$0
Mark Merrell	WA	Orthopaedic Surgery Physician	$368.3K	$0
Christopher Reynolds	AZ	Diagnostic Radiology Physician	$308.9K	$0
David Vance	WA	Urology Physician	$241.9K	$0
Cheta Nand	WA	Sleep Medicine (Internal Medicine) Physician	$239.9K	$0
James Go	FL	Otolaryngology Physician	$238.5K	$0
William Waites	WA	Physician Assistant	$217K	$0

Nearby Providers

Other providers in the same ZIP code as Lourdes Hospital LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tomorrow's Health, LLC	WA	Clinical Medical Laboratory	$2.1K	$426.2K
Travis Henderson	WA	Medical Physician Assistant	$305.1K	$0
Walgreen Co	WA	Pharmacy	$213.8K	$440
Charles Nelson	WA	Family Medicine Physician	$34.8K	$740
Paul Maiocco	WA	Physician Assistant	$24.4K	$0

Lourdes Hospital LLC — Billing Profile & Reimbursement Data

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Lourdes Hospital 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

Related Providers

Nearby Providers

Frequently Asked Questions

References