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.

Christus Health Central Louisiana (NPI 1639160799)

Key Findings

Field	Value
Entity Type	Organization
Organization	Christus Health Central Louisiana
Address	3330 Masonic Dr
City	Alexandria
State	LA
ZIP	71301
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 28, 2005

Payer Source	Total Paid
Medicaid	$30.1M
Medicare	$0

CHRISTUS HEALTH CENTRAL LOUISIANA has no Medicare billing on file and is effectively a single-payer provider in these data, with all reported federal program revenue coming from Medicaid. Total Medicaid revenue is $30.1M, and there is no Medicare counterpart to compare payer mix, indicating Medicaid beneficiaries are the primary public payer population captured in this profile.

Medicaid revenue is concentrated in a small number of high-value and high-volume codes: the top 3 Medicaid codes by revenue account for 48.7% of the provider's total Medicaid revenue. That concentration suggests a revenue profile heavily dependent on a few service lines, increasing sensitivity to changes in reimbursement or utilization for those specific codes.

Emergency department evaluation-and-management codes drive the largest Medicaid revenues: 99284 accounts for $5.9M (22.3% of Medicaid revenue) and 99285 accounts for $3.9M (14.7%). Together these ED E/M codes represent a substantial share of Medicaid revenue, consistent with a hospital operating a high-volume emergency department that manages moderate- and high-complexity cases.

The provider shows extremely high volume for several low-acuity outpatient codes: 99212 generated $3.1M (11.7% of Medicaid revenue) with 108.1K claims and ranks #7 of 1461 in-state (100th percentile), and 36415 (venipuncture) appears at 136.6K claims and $273.2K in revenue ranking #10 of 690 (99th percentile). These rank-percentile signals mark the hospital as an extreme outlier in outpatient/diagnostic throughput within Louisiana, indicating very large ambulatory visit and lab-draw volumes compared with peers.

For a number of imaging and lab services the provider sits near the upper range of in-state volume but not as an outlier: examples include chest radiograph 71045 ($1.1M, rank #26 of 206, 88th percentile), CT abdomen/pelvis 74177 ($619.6K, rank #26 of 104, 76th percentile), and BioFire respiratory panel 0202U ($1.4M, rank #9 of 60, 86th percentile). These placements indicate typical-to-high utilization of ED-focused diagnostic resources consistent with an acute care hospital supporting emergency and inpatient evaluation.

The provider's procedural mix includes surgical debridement and endoscopy consistent with inpatient and ED-associated interventions: debridement codes 11042 and 11043 together contribute material revenue ($678.3K and $143.1K respectively) with high in-state ranks (11042 rank #5 of 107, 96th percentile), and upper endoscopy biopsy 43239 contributes $622.6K (rank #25 of 163, 85th percentile). This combination reinforces a profile of a general acute care hospital performing operative wound care and GI diagnostics in addition to acute medical services.

Several routine laboratory and monitoring panels appear at high state percentiles, including CMP 80053 ($583.4K, 95th percentile), CBC 85025 ($464.5K, 97th percentile), lipid panel 80061 ($257.2K, 95th percentile), and ECG 93005 ($528.4K, 94th percentile). These elevated percentiles underscore heavy baseline inpatient and outpatient diagnostic activity that supports high ED and ambulatory visit volumes.

Tenure: the provider NPI was enumerated on 2005-10-28 (approximately 21 years ago), indicating long-standing licensure and an established presence in the Alexandria, LA market. That tenure combined with the high-volume outpatient and ED footprint suggests an entrenched regional provider of acute care services.

Competitive standing is mixed by service line: for core ED E/M codes (99284, 99285, 99283) the provider ranks in the mid-to-upper percentiles statewide (e.g., 80th, 76th, 88th percentiles), indicating it is a significant but not singularly dominant ED provider across Louisiana. In contrast, for several high-volume outpatient procedure and specimen-collection codes (99212, 36415, 85025) the provider is an extreme outlier at or near the top of state volume, identifying it as a leading center for routine ambulatory visits and phlebotomy compared with peers.

Medicaid: Complete Services Breakdown

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

245 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	45,410	$130	$5.9M
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.	22,530	$170	$3.9M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	108,080	$30	$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.	42,570	$70	$2.9M
0202U	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 0202U for the…	5,350	$260	$1.4M
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…	26,000	$40	$1.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	25,320	$30	$784.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	4,880	$140	$678.3K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	15,850	$40	$649.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,960	$320	$622.6K

Showing 1–10 of 245

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

Christus Health Central Louisiana — 4 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

245 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.	54	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.	58	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.	32	270	11,250	$90	$1.8M
0202U	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 0202U for the…	9	60	1,160	$280	$690.6K
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…	66	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.	26	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.	26	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.	27	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.	45	170	1,260	$70	$322.4K
G0378	Hospital observation service, per hour	33	80	580	$210	$270.6K

Showing 1–10 of 245

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christus Health Central Louisiana	LA	Critical Access Hospital Clinic/Center	$0	$6.2M
Christus Health Central Louisiana	LA	Critical Access Hospital	$0	$4.9M
Stephen Price	LA	Physician Assistant	$3.4M	$0
Thomas Norton	LA	Ophthalmology Physician	$1.2M	$21.6K
Patrick Redmond	LA	Ophthalmology Physician	$969.5K	$113.1K
Eric Reish	LA	Ophthalmology Physician	$975.5K	$106.9K
Michael Redmond	LA	Ophthalmology Physician	$798.6K	$29.2K
Salil Sethi	AZ	Interventional Cardiology Physician	$609.9K	$1.5K
William Rogenmoser	LA	Physical Medicine & Rehabilitation Physician	$606K	$0
Timmothy Randell	LA	Orthopaedic Surgery Physician	$561.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rapides Healthcare System, L.L.C.	LA	General Acute Care Hospital	$0	$26.9M
Acs Primary Care Physicians Louisiana PC	LA	Emergency Medicine Physician	$0	$20.6M
Radiology Associates Of Southwest Louisiana	LA	Diagnostic Radiology Physician	$0	$18.4M
Eckerd Youth Alternatives, Inc. Dba Eckerd Connects	LA	Community/Behavioral Health Agency	$0	$11.8M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M
Rapides Assoc For Retarded Citizens	LA	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Shahid Mansoor Md, Apmc	LA	Pediatrics Physician	$0	$8.2M
Cenla Children's Clinic & Associates	LA	Specialist	$0	$7.6M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$6.1M
Shahid Mansoor, M.d. A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$6M

Christus Health Central Louisiana — 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