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.

Louisiana Family Medicine Clinic 1 (NPI 1548538200)

Key Findings

Field	Value
Entity Type	Organization
Organization	Louisiana Family Medicine Clinic 1
Address	103 Watts St
City	Jonesboro
State	LA
ZIP	71251
Taxonomy	Clinic/Center
NPI Enumerated	December 9, 2011

Payer Source	Total Paid
Medicaid	$35.7M
Medicare	$0

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while Total Medicaid revenue is $35.7M, indicating the organization’s commercial/Medicare footprint is either minimal or absent in available records. The absence of Medicare billing should be considered when benchmarking against multi‑payer peers.

Revenue is highly concentrated in a few codes: the top three Medicaid codes (87633, 0202U, 99214) together account for 41.7% of the provider’s total Medicaid revenue, with 87633 producing $3.8M (16.6%), 0202U $3.2M (14.0%), and 99214 $2.6M (11.1%). This concentration implies that a small set of diagnostic and E/M services drive a large share of the clinic’s Medicaid receipts.

Clinical service mix points to a hybrid primary-care plus high-volume diagnostic laboratory operation: very large volumes of established-patient E/M codes (99214: 61.5K claims; 99213: 79.8K claims) indicate sustained ambulatory care throughput and ongoing primary care visits, while the top revenue-driving lab codes and respiratory panels suggest significant on-site or affiliated lab capabilities. Together these patterns are consistent with a clinic that combines routine primary care visits with integrated diagnostic testing.

The practice shows exceptionally high statewide lab throughput across many analytes and hormone assays: multiple tests (for example, 82670, 84403, 84270, 82607, 82746, 82728, 86376, 83001, 83002, 83735) rank #1 in-state and are labeled “extreme outlier,” signaling volumes that greatly exceed typical peers. Such persistent, broad-spectrum lab outlier status suggests centralized specimen processing or a high-volume testing workflow that is a dominant part of its service line.

Respiratory and infectious-disease testing is a clear capability and revenue driver: 87633 ($3.8M, 16.6%) and the PLA code 0202U ($3.2M, 14.0%) are top revenue contributors, and additional respiratory codes (87502, 87651) also appear in the top list. 0202U ranks #2 of 60 providers in-state (98th percentile; notably above typical state volume), so the provider is an above-typical regional performer for proprietary/multiplex respiratory panel testing.

Substance-testing and pulmonary diagnostics are material service lines: definitive drug testing (G0480: 17.8K claims, $802.9K, ranks #2 of 73, 99th percentile, extreme outlier) and presumptive screens (80307: 18.7K claims, $934.5K) are prominent, and spirometry (94060: 25.4K claims, $660.6K, ranks #1 of 90, 100th percentile, extreme outlier) is extremely high versus peers. These code-level patterns indicate routine use of both substance-use testing and pulmonary function testing alongside ambulatory care.

Competitive standing in-state is strong for both visit volume and diagnostics: 99214 ranks #39 of 2894 providers in-state (99th percentile; notably above typical state volume) and 99213 ranks #48 of 3226 (99th percentile), marking the clinic as a major ambulatory access point. Several diagnostic codes rank in the top statewide positions (many #1 rankings and multiple 100th-percentile labels), which portrays the provider as a dominant or major player for specific lab and diagnostic services within Louisiana.

The provider has an established tenure, with the NPI enumerated 2011-12-09 (~15 years ago); coupled with sustained, extreme-volume lab and diagnostic coding, this longevity supports the interpretation of an established operation with mature workflows and capacity in both outpatient visits and high-throughput testing. Analysts should consider that these long-standing patterns could reflect an intentional business model centered on combined primary care and diagnostic/lab services rather than intermittent or new-service behavior.

Medicaid: Complete Services Breakdown

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

253 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	12,490	$310	$3.8M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	11,130	$290	$3.2M
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…	61,510	$40	$2.6M
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…	79,750	$30	$2.3M
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.	18,690	$50	$934.5K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	34,160	$30	$888.1K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	41,800	$20	$877.9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	17,840	$50	$802.9K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	25,410	$30	$660.6K
82670	The lab analyst measures the level of total estradiol, an estrogenic hormone, on a specimen such as blood using a method such as liquid chromatography–tandem mass spectrometry (LC–MS/MS) to evaluate…	29,210	$20	$584.2K

Showing 1–10 of 253

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

Louisiana Family Medicine Clinic 1 — 20 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

253 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	4	70	620	$230	$913.4K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	2	60	1,160	$280	$690.6K
L0642	Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral…	2	10	1,640	$270	$434.6K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	7	90	650	$40	$404.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	60	150	1,070	$60	$346.2K
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…	39	2,890	980	$40	$246.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	25	210	630	$70	$239.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	70	190	660	$70	$234.9K
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…	48	3,230	1,120	$30	$204.3K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	11	10	470	$150	$192.9K

Showing 1–10 of 253

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ralph Abraham	LA	Diagnostic Radiology Physician	$304.6K	$0
Mark Portacci	LA	Family Medicine Physician	$265.7K	$0
George Waterfallen	LA	General Practice Physician	$259.3K	$0
Ronald Winters	AR	Diagnostic Radiology Physician	$151.6K	$0
Marcus Stelly	LA	Diagnostic Radiology Physician	$68.4K	$0
Andrew Gong	LA	General Practice Physician	$39.2K	$0
Morgan Haile	CT	Diagnostic Radiology Physician	$20.8K	$0
Dirk Rainwater	LA	General Practice Physician	$16.7K	$0
Stacy Conville	LA	Family Medicine Physician	$2.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Medical Health Center	LA	Federally Qualified Health Center (FQHC)	$0	$8.5M
Jackson Parish Hospital	LA	Rural Health Clinic/Center	$0	$7.2M
Jackson Parish Ambulance Service District	LA	Land Ambulance	$729.1K	$2.3M
Jerry Yarborough	LA	Physical Therapist	$221.2K	$0
Dionne Nolan	LA	Podiatrist	$94.3K	$0
Jeremy Cathey	LA	Family Nurse Practitioner	$83K	$0
Melanie Chandler	LA	Registered Dietitian	$7.6K	$0

Louisiana Family Medicine Clinic 1 — Billing Profile & Reimbursement Data

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Louisiana Family Medicine Clinic 1 — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References