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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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 Southeast Texas (NPI 1679557888)

Christus Health Southeast Texas is a general acute care hospital provider located in Beaumont, Texas. This profile covers 0 Medicare and 134 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	Christus Health Southeast Texas
Address	2830 Calder St
City	Beaumont
State	TX
ZIP	77702
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 1, 2005

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

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

134 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.	22,090	$400	$8.9M
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.	34,180	$110	$3.8M
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.	3,010	$670	$2M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	1,500	$760	$1.1M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	4,730	$220	$1M
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.	7,980	$100	$821.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	10,710	$30	$332K
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.	1,000	$290	$294.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	20,440	$10	$204.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	3,750	$50	$195.1K

Showing 1–10 of 134

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Christus Health Southeast Texas — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

134 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.	86	710	1,790	$200	$2.1M
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.	56	730	1,960	$100	$1M
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.	178	590	740	$170	$969.2K
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…	283	340	400	$50	$553.5K
G0378	Hospital observation service, per hour	61	70	300	$500	$465K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	26	160	200	$280	$321.8K
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…	97	150	170	$30	$302.9K
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.	23	370	360	$120	$279.5K
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…	2,903	6,040	710	$40	$232.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	178	290	410	$20	$225K

Showing 1–10 of 134

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Hernandez	TX	Cardiovascular Disease Physician	$685.1K	$0
Brian Ganesh	TX	Internal Medicine Physician	$624.6K	$0
Thomas Lombardo	TX	Cardiovascular Disease Physician	$353.4K	$0
Malik Rahim	AZ	Interventional Cardiology Physician	$228.9K	$0
Waqar Ahmad	TX	Internal Medicine Physician	$212.4K	$0
Joseph Harris	TX	Specialist	$143.9K	$0
Matthew Cope	NC	Internal Medicine Physician	$135.8K	$0
Owen Igbinosa	ME	Internal Medicine Physician	$127.8K	$0
Avinash Alexander	TX	Internal Medicine Physician	$121.5K	$0
Timothy Colgan	TX	Interventional Cardiology Physician	$105K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accutox, Inc.	TX	Clinical Medical Laboratory	$1.2M	$298K
Robert Hood	TX	Endocrinology, Diabetes & Metabolism Physician	$1.2M	$0
Winnie Community Hospital, LLC	TX	Ambulatory Surgical Clinic/Center	$835.6K	$191.5K
Beaumont Asc, LP	TX	Ambulatory Surgical Clinic/Center	$1M	$0
Endoscopy Center Of Southeast Texas LP	TX	Ambulatory Surgical Clinic/Center	$955K	$0
Apryl Mensah	TX	Radiation Oncology Physician	$916.7K	$0
Rodolfo Sotolongo	TX	Cardiovascular Disease Physician	$802.2K	$0
Mark Fasulo	TX	Cardiovascular Disease Physician	$763.4K	$0
Spinetech Surgery Center LLC	TX	Ambulatory Surgical Clinic/Center	$730.3K	$0
Jose Ortiz	TX	Endocrinology, Diabetes & Metabolism Physician	$691.3K	$0

Christus Health Southeast Texas — Billing Profile & Reimbursement Data

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Christus Health Southeast Texas — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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