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.

South Louisiana Medical Associates (NPI 1710944012)

South Louisiana Medical Associates is a internal medicine physician provider located in Houma, Louisiana. This profile covers 0 Medicare and 136 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	South Louisiana Medical Associates
Address	1990 Industrial Boulevard
City	Houma
State	LA
ZIP	70363
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 28, 2006

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

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

136 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…	67,890	$40	$2.6M
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…	78,660	$30	$2.4M
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,…	17,320	$20	$398.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	3,610	$60	$216.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,010	$70	$195.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,680	$70	$174.2K
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.	2,090	$80	$156.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,380	$50	$126.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,630	$70	$115.6K
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.	2,730	$40	$111.9K

Showing 1–10 of 136

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

South Louisiana Medical Associates — 4 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

136 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.	191	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.	191	240	4,030	$130	$2M
T1015	Clinic visit/encounter, all-inclusive	553	810	4,280	$110	$1.8M
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.	194	270	11,250	$90	$1.8M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	71	90	1,270	$50	$375.3K
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…	32	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…	180	210	630	$70	$239.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	112	190	660	$70	$234.9K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	63	60	250	$80	$220.7K
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…	51	3,230	1,120	$30	$204.3K

Showing 1–10 of 136

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Louisiana Medical Associates	LA	Surgery Physician	$0	$21.3M
Jordan Johnson	OK	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Stephen Hypes	SC	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
James Crowe	LA	Internal Medicine Physician	$425.9K	$0
Sandra Charpentier	LA	Internal Medicine Physician	$95.1K	$0
Donald Mazzulla	LA	Retina Specialist (Ophthalmology) Physician	$94.8K	$0
Terry Delord	LA	Internal Medicine Physician	$93.5K	$0
Adham Al Hariri	LA	Ophthalmology Physician	$87.1K	$0
Shaminder Gupta	LA	Nephrology Physician	$81.1K	$0
Richard Awtrey	LA	Gastroenterology Physician	$62.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Regional Medical Corporation	LA	General Acute Care Hospital	$0	$31.5M
Delta Medical Group	LA	Urgent Care Clinic/Center	$0	$7.7M
Terrebonne Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$5.3M
Drew Bienvenu	LA	Emergency Medicine Physician	$44.4K	$0
Corey Dupre	LA	Physician Assistant	$37K	$0
Howard Woo	LA	Urology Physician	$36.3K	$0
Nicolas Vergara	LA	Psychiatry Physician	$35.4K	$0
Christopher Powell	LA	Medical Physician Assistant	$32.5K	$0
Jessica Borne	LA	Diagnostic Radiology Physician	$20.5K	$0
Vishal Vyas	LA	Clinical Cardiac Electrophysiology Physician	$13.3K	$0

South Louisiana Medical Associates — Billing Profile & Reimbursement Data

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South Louisiana Medical Associates — 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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