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.

East Jefferson Emergency Management LLC (NPI 1639684061)

Field	Value
Entity Type	Organization
Organization	East Jefferson Emergency Management LLC
Address	4200 Houma Blvd
City	Metairie
State	LA
ZIP	70006
Taxonomy	Emergency Medicine Physician
NPI Enumerated	December 7, 2017

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 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.	42,880	$90	$3.6M
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.	19,280	$70	$1.3M
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.	8,440	$40	$303.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	150	$100	$15.4K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	940	$1	$940
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	10	$1	$30
G8783	Normal blood pressure reading documented, follow-up not required	10	$0	$0
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	170	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	120	$0	$0

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

East Jefferson Emergency Management LLC — 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

9 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.	103	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.	25	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.	155	270	11,250	$90	$1.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	86	150	340	$120	$204.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	173	180	130	$1	$1.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	10	180	$1	$570
G8783	Normal blood pressure reading documented, follow-up not required	43	50	190	$1	$10
G9744	Patient not eligible due to active diagnosis of hypertension	45	70	210	$1	$1
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	4	20	70	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with East Jefferson Emergency Management LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandon Mong	LA	Emergency Medicine Physician	$62.9K	$0
Drew Bienvenu	LA	Emergency Medicine Physician	$44.4K	$0

Nearby Providers

Other providers in the same ZIP code as East Jefferson Emergency Management LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Healthcare System, L.c.	LA	General Acute Care Hospital	$0	$30.9M
Lcmc Health Holdings Inc	LA	General Acute Care Hospital	$0	$11.4M
Berry's Reliable Resources LLC	LA	In Home Supportive Care Agency	$0	$8.8M
Reliable Community Alternatives, LLC.	LA	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Louisiana Pain Specialists, LLC	LA	Interventional Pain Medicine Physician	$0	$7.5M
Berry's Reliable Resources L.L.C.	LA	In Home Supportive Care Agency	$0	$6M
Sunnyside Pediatrics LLC	LA	Family Medicine Physician	$0	$5.6M
Nathan A Burns Dmd Apdc	LA	Pediatric Dentistry	$0	$5.2M
Gno Snoring And Sinus, LLC	LA	Specialist	$0	$4.7M
Deepblue Wellness LLC	LA	Behavioral Neurology & Neuropsychiatry Physician	$0	$4.6M

East Jefferson Emergency Management LLC — Billing Profile & Reimbursement Data

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East Jefferson Emergency Management LLC — 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