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.

Leading Health Care Of La (NPI 1578692562)

Field	Value
Entity Type	Organization
Organization	Leading Health Care Of La
Address	3461 5th Avenue
City	Lake Charles
State	LA
ZIP	70607
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$36.7M
Medicare	$0

Key Findings

LEADING HEALTH CARE OF LA is classified as an In Home Supportive Care Agency and its billing profile aligns with that service line: Medicaid activity is dominated by S5125 (Attendant care services; per 15 minutes), indicating the provider delivers in-home attendant care billed in short time increments rather than episodic or bundled services. The presence of S5125 as the revenue driver points to a care model built around high-frequency, unit-based home care visits.

Medicaid revenue is concentrated entirely in attendant-care codes: S5125 is listed as accounting for $36.7M in revenue and is reported to represent 100.0% of this provider's total Medicaid revenue. This extreme concentration means the provider’s financial performance is highly dependent on a single service line and reimbursement policy tied to S5125.

Claims-level activity is substantial: the S5125 line shows 152.9K claims with a $240 avg paid/claim yielding $36.7M in Medicaid revenue. The combination of a high claim count and a per-15-minute billing structure implies operations that generate many small-unit claims (short-duration visits aggregated across many beneficiaries).

Payer mix is effectively single-payer Medicaid: Medicare revenue is none (no Medicare billing on file) while Medicaid totals $36.7M, so the organization appears to rely exclusively on Medicaid for billed services in the available data. This lack of Medicare activity suggests limited exposure to Medicare payment models and a concentrated exposure to Medicaid policy and rate changes.

On competitive standing within the state for its primary code, LEADING HEALTH CARE OF LA ranks #29 of 486 providers in-state (94th percentile) for S5125 and is described as notably above typical state volume for this code. That rank places the provider among the higher-volume statewide participants for attendant-care billing, indicating a meaningful market presence in Louisiana for this service.

The provider has been active and enumerated for a long period, with an NPI registered 2007-03-05 (~19 years ago), which supports the interpretation of an established local operation and enduring presence in the state’s home care market. Longevity combined with high-volume S5125 billing suggests institutional experience managing attendant-care workflows.

Operational and business risks are concentrated: because a single code (S5125) drives all reported Medicaid revenue, the entity is vulnerable to rate changes, prior authorization policy shifts, or utilization controls targeting attendant-care services. Payers and network managers evaluating contracting or audit priorities should note this concentration when assessing financial resilience and service continuity risk.

From a utilization management perspective, the volume and unit-based nature of S5125 billing (152.9K claims at $240 avg paid/claim) make this provider a candidate for targeted oversight of visit duration, claim aggregation practices, and scheduling patterns; these are programmatic levers payers commonly use to manage cost and access for high-volume attendant-care providers.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	152,870	$240	$36.7M

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

Leading Health Care Of La — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	29	490	35,970	$140	$7.3M

Nearby Providers

Other providers in the same ZIP code as Leading Health Care Of La, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatrust Lake Charles, LLC	LA	Exclusive Provider Organization	$0	$12.6M
Lcms Rehabilitation Institute Of Southwest Louisiana	LA	Physical Medicine & Rehabilitation Physician	$0	$5.8M
Savannah Alford	LA	Occupational Therapist	$169.1K	$0
Michaella Cormier	LA	Physical Medicine & Rehabilitation Physician	$123.9K	$0
Isha Lang	LA	Family Nurse Practitioner	$47.1K	$0
Cynthia Cox	LA	Family Nurse Practitioner	$34.3K	$0
Alicia Larocque	LA	Family Nurse Practitioner	$24.8K	$0

Leading Health Care Of La — Billing Profile & Reimbursement Data

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Leading Health Care Of La — 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

Nearby Providers

Frequently Asked Questions

References