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.

James Hlavacek (NPI 1659506798)

Field	Value
Entity Type	Individual
Organization	James Hlavacek
Address	4212 W Congress St Ste 3100
City	Lafayette
State	LA
ZIP	70506
Taxonomy	Orthopaedic Trauma Physician
NPI Enumerated	May 19, 2009

Payer Source	Total Paid
Medicare	$71.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	40	$1,010	$36.3K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	30	$980	$24.4K
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…	70	$100	$6.7K
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…	80	$50	$4.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

James Hlavacek — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27236	2	30	20	$700	$11.2K
27245	1	40	10	$690	$11.1K
99213	2,694	6,060	70	$50	$8.1K
99204	595	3,190	30	$110	$4.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with James Hlavacek, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospital & Clinics, Inc.	LA	General Acute Care Hospital	$0	$60.9M
Lsuhn Billing LLC	LA	Multi-Specialty Clinic/Center	$0	$45.7M
University Hospital & Clinics, Inc.	LA	Anesthesiology Physician	$0	$12.1M
Laura Kaiser	LA	Adult Health Clinical Nurse Specialist	$5.1M	$0
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Thomas Kartis	FL	Vascular Surgery Physician	$563.3K	$0
Joshua Hackel	FL	Sports Medicine (Family Medicine) Physician	$526.8K	$0
Becky Opper	FL	Physician Assistant	$473.1K	$0
Perri Prellop	LA	Radiation Oncology Physician	$450.2K	$0
Susan Reisinger	FL	Radiation Oncology Physician	$423.3K	$0

Nearby Providers

Other providers in the same ZIP code as James Hlavacek, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Complete Home Health, Inc.	LA	Home Health Agency	$0	$57.4M
Share Care Usa	LA	Developmentally Disabled Services Day Training Agency	$0	$27.4M
Alternative Home Care Specialists, Inc.	LA	Personal Care Attendant	$0	$21.9M
Eckerd Youth Alternatives , Inc. Dba Eckerd Connects	LA	Case Management Agency	$0	$17.7M
Cadence Of Acadiana, Inc.	LA	Case Management Agency	$0	$14.1M
Lafayette Association For Retarded Citizens, Inc.	LA	Respite Care	$0	$12.4M
Aa Angel Care Inc	LA	Early Intervention Provider Agency	$0	$11.8M
Congress Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.4M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$6.7M
Lafayette Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$6.6M

James Hlavacek — Billing Profile & Reimbursement Data

Sign up for James Hlavacek — Billing Profile & Reimbursement Data policy alerts

James Hlavacek — Billing Profile & Reimbursement Data

Sign up for James Hlavacek — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References