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.

St. Tammany Parish Hospital Service District No 1 (NPI 1598798597)

Field	Value
Entity Type	Organization
Organization	St. Tammany Parish Hospital Service District No 1
Address	1202 S Tyler St
City	Covington
State	LA
ZIP	70433
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

187 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	23,080	$150	$3.4M
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.	29,540	$110	$3.1M
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.	32,830	$70	$2.4M
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…	30,190	$30	$996.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,750	$50	$673.9K
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…	5,290	$80	$407.6K
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…	16,290	$20	$358.5K
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…	12,920	$30	$323.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,240	$250	$312K
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.	44,170	$10	$309.2K

Showing 1–10 of 187

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

St. Tammany Parish Hospital Service District No 1 — 0 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

187 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0225U	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 0225U for the…	2	10	70,960	$300	$21.2M
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.	80	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.	57	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.	52	270	11,250	$90	$1.8M
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…	44	100	620	$40	$560K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	17	30	1,340	$60	$499.3K
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.	77	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.	15	30	160	$520	$413.4K
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.	94	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.	42	170	1,260	$70	$322.4K

Showing 1–10 of 187

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Tammany Parish Hospital Service District No 1, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Mcclanahan	LA	Internal Medicine Physician	$258.5K	$0
Robert Baker	NV	Cardiovascular Disease Physician	$221.4K	$36.8K
Paul Stahls	LA	Clinical Cardiac Electrophysiology Physician	$150.2K	$0
Georges El Khoury Antoun	LA	Cardiovascular Disease Physician	$132.4K	$0
George Isa	LA	Interventional Cardiology Physician	$117.5K	$0
Bobby Mathew	MD	Critical Care Medicine (Internal Medicine) Physician	$101.4K	$0
Hamid Salam	LA	Interventional Cardiology Physician	$98K	$0
Sandra Almerico	LA	Adult Health Nurse Practitioner	$85.5K	$0
Bekir Melek	LA	Cardiovascular Disease Physician	$60.7K	$0
Ricardo Blanco	LA	Pulmonary Disease Physician	$60.5K	$0

Nearby Providers

Other providers in the same ZIP code as St. Tammany Parish Hospital Service District No 1, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional Radiology, LLC	LA	Diagnostic Radiology Physician	$0	$15.6M
Avenues Recovery Center At Covington	LA	Substance Abuse Rehabilitation Facility	$0	$15.4M
Right Hand Senior Care LLC	LA	In Home Supportive Care Agency	$0	$13.5M
Easter Seals Louisiana Inc.	LA	Case Management Agency	$0	$11.4M
Pontchartrain Pediatrics LLC	LA	Pediatrics Physician	$0	$11.3M
Townsend Recovery Center New Orleans, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$10.8M
Quality Support Coordination Inc	LA	Case Management Agency	$0	$10M
St Tammany Emergency Physicians Group LLC	LA	Emergency Medicine Physician	$0	$9.2M
Start Corporation	LA	Federally Qualified Health Center (FQHC)	$0	$7.5M
Van Meter Emergency Physicians Inc. Apmc	LA	Emergency Medicine Physician	$0	$7.5M

St. Tammany Parish Hospital Service District No 1 — Billing Profile & Reimbursement Data

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St. Tammany Parish Hospital Service District No 1 — 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