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 United Methodist Children & Family Services, Inc (NPI 1588744015)

Field	Value
Entity Type	Organization
Organization	Louisiana United Methodist Children & Family Services, Inc
Address	904 Deville Lane
City	Ruston
State	LA
ZIP	71270
Taxonomy	Psychiatric Residential Treatment Facility
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$99.5M
Medicare	$0

Key Findings

LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC operates as a psychiatric residential treatment provider in practice: the Medicaid billing is overwhelmingly per-diem psychiatric facility services (H2013), with 206K claims, a $482 average paid/claim, and $99.3M in revenue tied to that code. This pattern aligns with its listed taxonomy (Psychiatric Residential Treatment Facility) and indicates the organization’s primary service line is long-stay or per-diem psychiatric residential care rather than procedure-based outpatient services.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, and H2013 alone represents 99.7% of their $99.5M Medicaid revenue. That concentration means overall financial performance is driven almost entirely by utilization and reimbursement for a single per-diem psychiatric facility code rather than a diversified code mix.

This entity is effectively single-payer in scale: there is no Medicare billing on file while Medicaid shows $99.5M in lifetime revenue, so Medicaid is the dominant and essentially sole public payer relationship reflected in the data. Analysts should treat Medicaid policy, authorization, and rate changes as the primary levers that would materially affect this provider’s revenue stream.

On competitive standing for the dominant code, the provider ranks #1 of 8 in-state for H2013 and sits at the 100th percentile, described as notably above typical state volume. That rank indicates the organization is a leading statewide provider of the per-diem psychiatric facility service and occupies a dominant share of in-state Medicaid volume for this code.

Secondary E/M codes are present but immaterial to revenue and reflect routine inpatient/observation encounters rather than a separate business line: 99232 produced $147.4K (4.8K claims) and ranks #150 of 753 in-state (80th percentile), 99231 produced $80.8K (4.5K claims) and ranks #43 of 344 (88th percentile), and 99233 produced $40.5K (880 claims) and ranks #200 of 466 (57th percentile). These codes together make up only a tiny fraction of overall Medicaid revenue and suggest occasional physician evaluation/management activity associated with residential or observation care rather than a high-volume medical-surgical practice.

From an operational and payor-management perspective, the H2013 per-diem model (206K claims at $482 avg/claim) implies revenue sensitivity to daily census, length-of-stay policies, and per-diem rate negotiations; authorization and utilization management practices by Medicaid will be the key business risk/opportunity areas. The minimal revenue tied to E/M codes suggests on-site medical oversight exists but is not a primary revenue driver, so care-model changes targeting ancillary services would likely have limited impact on total revenue.

The provider has longstanding presence in the data with an NPI enumerated on 2006-10-17 (~20 years ago), indicating established operations and multi-year participation in Medicaid billing. That tenure, combined with the top ranking on H2013, supports the conclusion that this organization is an established, specialized state-level leader in Medicaid-funded psychiatric residential services.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2013	Psychiatric health facility service, per diem	205,960	$480	$99.3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4,760	$30	$147.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	4,490	$20	$80.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	880	$50	$40.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$70	$2.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	60	$20	$1.2K

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 United Methodist Children & Family Services, Inc — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2013	Psychiatric health facility service, per diem	1	10	31,630	$430	$21.7M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	200	470	560	$40	$157.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	150	750	760	$30	$135.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	316	390	170	$50	$43.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	43	340	300	$20	$33.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	68	120	90	$40	$23.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Louisiana United Methodist Children & Family Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana United Methodist Children & Family Services, Inc	LA	Psychiatric Residential Treatment Facility	$0	$23.7M
Louisiana United Methodist Children & Family Services, Inc	LA	Psychiatric Residential Treatment Facility	$0	$21.8M

Nearby Providers

Other providers in the same ZIP code as Louisiana United Methodist Children & Family Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincoln Nova Vital Recovery Center,llc	LA	Substance Abuse Rehabilitation Facility	$0	$36.8M
Pafford Emergency Medical Services, Inc.	LA	Ambulance	$4.6M	$23.2M
People Centered Support Services, Inc.	LA	Community/Behavioral Health Agency	$0	$14.4M
Certicare, Inc	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Green Clinic LLC	LA	Family Medicine Physician	$0	$9.5M
Peach Tree For Kids - Ruston, LLC	LA	Pediatric Dentistry	$0	$9M
Little Helper's, LLC	LA	Health Maintenance Organization	$0	$7.8M
Winn Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$7.3M
Clhg-ruston LLC	LA	General Acute Care Hospital	$0	$5.5M
Community Bridges West, Inc.	LA	In Home Supportive Care Agency	$0	$4.7M

Louisiana United Methodist Children & Family Services, Inc — Billing Profile & Reimbursement Data

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Louisiana United Methodist Children & Family Services, 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