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.

Caldwell Memorial Hospital Inc (NPI 1639189244)

Field	Value
Entity Type	Organization
Organization	Caldwell Memorial Hospital Inc
Address	421 Main St
City	Columbia
State	LA
ZIP	71418
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	24,750	$330	$8.2M
00000	N/A	500	$0	$0
3077F	No Summary found for this code	20	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	30	$0	$0
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	1,660	$0	$0
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	80	$0	$0
99203	The provider sees a new 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 provider…	30	$0	$0
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	110	$0	$0
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,…	610	$0	$0
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…	14,180	$0	$0

Showing 1–10 of 19

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

Caldwell Memorial Hospital Inc — 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	184	810	4,280	$110	$1.8M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	182	2,890	980	$40	$246.8K
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…	401	3,230	1,120	$30	$204.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	668	1,170	160	$80	$102.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	153	700	180	$60	$77K
99203	The provider sees a new 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 provider…	1,077	1,280	180	$50	$64.8K
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,…	634	1,460	440	$20	$64K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	479	490	170	$50	$62K
J1885	Injection, ketorolac tromethamine, per 15 mg	247	320	380	$1	$6.7K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	43	150	410	$1	$5.5K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Caldwell Memorial Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Tompkins	FL	Diagnostic Radiology Physician	$496.4K	$0
Caleb Rivera	FL	Diagnostic Radiology Physician	$315.7K	$0
Ralph Abraham	LA	Diagnostic Radiology Physician	$304.6K	$0
Rolando Prieto	FL	Vascular & Interventional Radiology Physician	$235.3K	$0
Michael Rolen	VA	Diagnostic Radiology Physician	$141.3K	$80K
Sameh Sakla	FL	Diagnostic Radiology Physician	$204.2K	$110
Ronald Winters	AR	Diagnostic Radiology Physician	$151.6K	$0
W Wilder	LA	Diagnostic Radiology Physician	$150.1K	$0
Chad Porter	LA	Diagnostic Radiology Physician	$136.7K	$0
Brett Travis	LA	Diagnostic Radiology Physician	$88.9K	$0

Nearby Providers

Other providers in the same ZIP code as Caldwell Memorial Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Service District No. 1 Of Caldwell Parish	LA	Rural Health Clinic/Center	$0	$13.1M
Advanced Sitting Solutions	LA	Personal Care Attendant	$0	$11.3M
Express Medical Staffing, Inc.	LA	Personal Care Attendant	$0	$10.3M
Jerry Gregory	LA	Physician Assistant	$61.9K	$0
Landry Guerrero	LA	Occupational Therapist	$43K	$0

Caldwell Memorial Hospital Inc — Billing Profile & Reimbursement Data

Sign up for Caldwell Memorial Hospital Inc — Billing Profile & Reimbursement Data policy alerts

Caldwell Memorial Hospital Inc — Billing Profile & Reimbursement Data

Sign up for Caldwell Memorial Hospital Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References