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.

Christus Health Southwestern Louisiana (NPI 1548796378)

Field	Value
Entity Type	Organization
Organization	Christus Health Southwestern Louisiana
Address	4200 Nelson Rd
City	Lake Charles
State	LA
ZIP	70605
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 11, 2017

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

135 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	31,930	$120	$4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	52,730	$60	$3.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,310	$180	$422.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,050	$390	$412.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	10,300	$40	$391.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6,890	$50	$323.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	810	$320	$258.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	51,600	$10	$258K
J2405	Injection, ondansetron hydrochloride, per 1 mg	7,090	$30	$219.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	29,430	$10	$176.6K

Showing 1–10 of 135

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

Christus Health Southwestern Louisiana — 2 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

135 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	73	270	9,980	$110	$2.6M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	140	240	4,030	$130	$2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	22	270	11,250	$90	$1.8M
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…	30	60	1,160	$280	$690.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	92	100	620	$40	$560K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	46	100	760	$100	$441.2K
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.	98	150	1,070	$60	$346.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	70	80	580	$210	$270.6K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	52	130	2,800	$30	$258.7K

Showing 1–10 of 135

Related Providers

Other providers that share a Tax Identification Number (TIN) with Christus Health Southwestern Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$10.2M
Thomas Mulhearn	LA	Interventional Cardiology Physician	$1.1M	$0
Corey Foster	LA	Cardiovascular Disease Physician	$928.4K	$270
Brett Goodwin	LA	Interventional Cardiology Physician	$816.4K	$90
Michael Turner	LA	Cardiovascular Disease Physician	$460.7K	$0
Brian Kelley	LA	Neurological Surgery Physician	$265.9K	$0
Carl Fastabend	TX	Cardiovascular Disease Physician	$226.8K	$0
Prasanna Sugathan	LA	Cardiovascular Disease Physician	$222.6K	$0
Katherine Hanks	LA	Family Nurse Practitioner	$36.8K	$0
Lindsay Viator	LA	Family Nurse Practitioner	$31.7K	$0

Nearby Providers

Other providers in the same ZIP code as Christus Health Southwestern Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Calcasieu Urgent Care LLC	LA	Urgent Care Clinic/Center	$0	$39.5M
Resource Management Services, Inc. Of Southwest Louisiana	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.7M
Southwest Louisiana Independence Center, Inc	LA	In Home Supportive Care Agency	$0	$14.4M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$10.3M
Direct Care, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$10.1M
Calcasieu Emergency Group LLC	LA	Emergency Medicine Physician	$0	$7.4M
Vcphcs Vi, LLC	LA	Substance Use Disorder Rehabilitation Clinic/Center	$110.8K	$6.7M
Pediatric Cardiology Of Southwest Louisiana, LLC	LA	Pediatric Cardiology Physician	$0	$6.1M
1st Abundant Home Care, LLC	LA	Developmentally Disabled Services Day Training Agency	$0	$5.1M
Regional Healthcare-lake Charles, LLC	LA	In Home Supportive Care Agency	$0	$5M

Christus Health Southwestern Louisiana — 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