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.

Willis Knighton Medical Center, Inc. (NPI 1568461572)

Key Findings

Field	Value
Entity Type	Organization
Organization	Willis Knighton Medical Center, Inc.
Address	2600 Greenwood Rd
City	Shreveport
State	LA
ZIP	71103
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 20, 2005

Payer Source	Total Paid
Medicaid	$76.1M
Medicare	$0

WILLIS KNIGHTON MEDICAL CENTER, INC. is effectively a single-payer Medicaid provider at scale: there is no Medicare billing on file while Medicaid revenue totals $76.1M, indicating that Medicaid is the dominant (in fact sole reported) public payer revenue stream for this entity. This concentration in Medicaid revenue means analyses of financial health and utilization should focus on Medicaid policy and network dynamics rather than Medicare trends.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the top three Medicaid codes (99283, 99284, 99285) together account for 59.4% of the provider’s total Medicaid revenue. Those three codes individually generate $17.8M (99283—25.9%), $16.1M (99284—23.4%), and $7M (99285—10.1%), signaling that ED services are the primary revenue drivers.

The code mix and volumes indicate a high-throughput emergency operations model with a skew toward lower-to-moderate acuity visits. High claim counts for ED E/M codes (99283: 183.5K claims; 99284: 94K claims; 99282: 72.2K claims) combined with the revenue shares above suggest the hospital manages large ED patient flow and derives most of its Medicaid revenue from episodic emergency care rather than from an array of inpatient DRG-dominated billing.

Multiple laboratory codes show extreme-state-level volumes, supporting an on-site, high-throughput lab that likely interfaces heavily with the ED and ambulatory front end. For example, 87502 (48.8K claims, $3.8M) ranks #1 of 206 providers (100th percentile; extreme outlier), 80048 (67.8K claims, $406.6K) ranks #1 of 140 (100th percentile; extreme outlier), and 85025 (190.4K claims, $951.9K) ranks #4 of 379 (99th percentile; extreme outlier). These patterns indicate substantial specimen processing and point-of-care testing volume.

Imaging and diagnostic monitoring volumes further corroborate an ED-centric throughput profile with sustained diagnostic capacity. 71045 chest x-rays (60.7K claims, $3.1M) and 93005 ECGs (54.1K claims, $1.4M) appear at high statewide percentiles (both near or above the 93rd–98th percentiles), while modality-specific CTs such as 74176 (2.9K claims, $1.5M) and 70450 (4.2K claims, $652.6K) show typical but material contributions to revenue, consistent with frequent ED imaging and inpatient workups.

Statewide competitive standing is dominant for several high-volume codes: 99283 ranks #2 of 266 (100th percentile; extreme outlier) and 99282 ranks #1 of 169 (100th percentile; extreme outlier), while 99284 sits at #11 of 266 (96th percentile; notably above typical state volume). Additional #1 rankings (e.g., 87502 and 80048 at the 100th percentile) and top-tier ranks for specimen collection codes (36415 at #5 of 690, 99th percentile; extreme outlier) indicate Willis Knighton is a major statewide provider for ED throughput and ancillary testing.

The heavy revenue concentration in a small set of ED codes (top three = 59.4% of Medicaid revenue) creates operational and reimbursement sensitivity: changes in ED utilization patterns, Medicaid reimbursement policy for E/M levels, or care-shifting to ambulatory urgent-care settings could materially affect the provider’s Medicaid revenue. Analysts should monitor shifts in claims mix among 99282–99285 and payor-specific coverage rules for E/M and observation services.

WILLIS KNIGHTON’s NPI has been enumerated since 2005-07-20 (~21 years ago), indicating an established presence in the market. That tenure, combined with the provider’s statewide outlier volumes for ED, lab, and specimen-collection codes, supports the conclusion that the hospital is an entrenched regional resource for emergency and high-throughput diagnostic services.

Medicaid: Complete Services Breakdown

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

255 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	183,460	$100	$17.8M
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.	94,010	$170	$16.1M
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.	40,750	$170	$7M
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.	72,190	$70	$5.3M
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…	48,790	$80	$3.8M
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…	47,930	$70	$3.1M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	60,740	$50	$3.1M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,880	$520	$1.5M
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…	54,130	$30	$1.4M
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	3,500	$330	$1.1M

Showing 1–10 of 255

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

Willis Knighton Medical Center, Inc. — 11 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

255 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.	11	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.	27	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.	2	270	11,250	$90	$1.8M
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…	6	70	620	$230	$913.4K
J9271	Injection, pembrolizumab, 1 mg	6	10	160	$3,820	$862.6K
87150	The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…	7	20	490	$160	$855.8K
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…	8	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.	43	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	14	30	160	$520	$413.4K
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…	5	90	650	$40	$404.2K

Showing 1–10 of 255

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brent Boudreaux	LA	Diagnostic Radiology Physician	$125.1K	$0
West Chandler	TX	Family Medicine Physician	$52K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsu Health Sciences Center Shreveport Faculty Group Practice	LA	Family Medicine Physician	$0	$235.7M
University Health Shreveport LLC	LA	General Acute Care Hospital	$0	$98.1M
Cross Lake Emergency Group, LLC	LA	Emergency Medicine Physician	$0	$29.1M
Metropolitan Circles, LLC	LA	Developmental Disabilities Clinic/Center	$0	$13.7M
Louisiana State University Health Sciences Center	LA	Clinical Medical Laboratory	$672K	$11.2M
Balentine Ambulance Service Inc.	LA	Ambulance	$2.4M	$6.2M
Brfhh Shreveport LLC	LA	General Acute Care Hospital	$0	$6.3M
Red River Consultants, Inc	LA	Diagnostic Radiology Physician	$0	$4.9M
Shreveport Endoscopy Center, A Medical Corporation	LA	Endoscopy Clinic/Center	$2.2M	$495.4K
Biomedical Research Foundation Of Northwest Louisiana	LA	Radiology Clinic/Center	$650.1K	$927.6K

Willis Knighton Medical Center, Inc. — Billing Profile & Reimbursement Data

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Willis Knighton Medical Center, Inc. — 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