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.

Dr Douglas Mehaffie Md LLC (NPI 1669409199)

Dr Douglas Mehaffie Md LLC is a urgent care clinic/center provider located in Gretna, Louisiana. This profile covers 0 Medicare and 78 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Dr Douglas Mehaffie Md LLC
Address	148 Wall Blvd
City	Gretna
State	LA
ZIP	70056
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	95,220	$50	$5M
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…	39,700	$80	$3.3M
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…	33,540	$60	$2M
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…	29,990	$70	$2M
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	30,270	$50	$1.5M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	7,730	$140	$1M
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…	17,560	$40	$614.7K
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…	7,370	$70	$537.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	9,220	$50	$461.1K
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…	7,980	$50	$430.6K

Showing 1–10 of 78

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

Dr Douglas Mehaffie Md LLC — 11 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	10	100	620	$40	$560K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	10	90	650	$40	$404.2K
87640	The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.	7	20	690	$20	$359.2K
87653	The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…	2	30	390	$20	$285.9K
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…	21	2,890	980	$40	$246.8K
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	210	630	$70	$239.6K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	16	50	530	$20	$237.6K
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…	332	3,230	1,120	$30	$204.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	25	170	1,360	$30	$190K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	3	40	420	$90	$142.7K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A-1 Absolute Best Care	LA	Developmentally Disabled Services Day Training Agency	$0	$52M
Pediatric Clinic Westbank	LA	Pediatrics Physician	$0	$17.8M
Superior Options Of La Inc	LA	Personal Care Attendant	$0	$14.5M
Vcphcs V, LLC	LA	Substance Use Disorder Rehabilitation Clinic/Center	$186.5K	$13M
Able Life Care Services, Inc	LA	Personal Care Attendant	$0	$12.5M
Personal Care Partners, LLC	LA	In Home Supportive Care Agency	$0	$12.3M
Advanced Personal Care Services, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$10.9M
Pediatrics Kid-med, LLC	LA	Neonatal-Perinatal Medicine Physician	$0	$8.8M
Medcomp Gx, LLC	LA	Clinical Medical Laboratory	$7.8M	$13.7K
Advanced Personal Care Services,inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$7.7M

Dr Douglas Mehaffie Md LLC — Billing Profile & Reimbursement Data

Sign up for Dr Douglas Mehaffie Md LLC — Billing Profile & Reimbursement Data policy alerts

Dr Douglas Mehaffie Md LLC — Billing Profile & Reimbursement Data

Sign up for Dr Douglas Mehaffie Md LLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Mehaffie	LA	Family Medicine Physician	$19.3K	$0
Amanda Goldberg	LA	Family Nurse Practitioner	$11.1K	$0