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.

Rapides Primary Health Care Center, Incorporated (NPI 1568404838)

Field	Value
Entity Type	Organization
Organization	Rapides Primary Health Care Center, Incorporated
Address	1217 Willow Glen River Rd
City	Alexandria
State	LA
ZIP	71302
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

69 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	90,050	$90	$8.2M
D0999	N/A	27,000	$110	$2.9M
H2020	Therapeutic behavioral services, per diem	10,080	$80	$755.6K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	660	$1	$2.6K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	230	$1	$690
0011A	N/A	140	$1	$570
0012A	N/A	50	$10	$230
0013A	N/A	30	$10	$220
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	60	$1	$130
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	310	$0	$0

Showing 1–10 of 69

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

Rapides Primary Health Care Center, Incorporated — 2 of 9 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

69 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	29	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	56	320	2,270	$90	$637.8K
D0999	N/A	7	170	1,120	$90	$447K
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…	259	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…	43	3,230	1,120	$30	$204.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	68	190	900	$30	$137.2K
D2392	Post 2 surface resin‑based composite	211	400	470	$90	$135.5K
D1120	Prophylaxis–child	365	610	750	$30	$125.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	110	270	3,140	$10	$111K
D0120	Periodic oral evaluation - established patient	126	730	990	$30	$104.7K

Showing 1–10 of 69

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rapides Primary Health Care Center, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oghale Eleyae	LA	Podiatrist	$59.4K	$0

Nearby Providers

Other providers in the same ZIP code as Rapides Primary Health Care Center, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$24M
Amian Care Services, LLC	LA	Personal Care Attendant	$0	$6.7M
Share Care Usa	LA	Developmentally Disabled Services Day Training Agency	$0	$6.2M
St. Genevive Health Care Services, Inc.	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M

Rapides Primary Health Care Center, Incorporated — Billing Profile & Reimbursement Data

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Rapides Primary Health Care Center, Incorporated — 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