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.

Swla Center For Health Services (NPI 1720014186)

Field	Value
Entity Type	Organization
Organization	Swla Center For Health Services
Address	2000 Opelousas St
City	Lake Charles
State	LA
ZIP	70601
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$33.2M
Medicare	$0

Key Findings

SWLA CENTER FOR HEALTH SERVICES is effectively a Medicaid-centric provider with no Medicare billing on file and $33.2M in total Medicaid revenue, making Medicaid the dominant — essentially sole — payer exposure recorded for this entity. This payer concentration should frame any comparative analysis or risk assessment, since Medicare activity cannot be used to benchmark clinical or financial behavior for this site.

Revenue is extremely concentrated in three Medicaid codes: T1015 accounts for $22.4M (67.5%), D0999 accounts for $6.9M (20.8%), and H2020 accounts for $3.7M (11.1%); those top three codes together represent 99.3% of the provider's Medicaid revenue. This degree of concentration indicates that a handful of service lines — as captured by these codes — drive nearly all reported Medicaid payments.

The prominence of T1015 (Clinic visit/encounter, all-inclusive) as the single largest revenue source aligns with the provider’s Federally Qualified Health Center taxonomy and suggests an operational model built around bundled or all-inclusive primary care clinic encounters. H2020 (Therapeutic behavioral services, per diem) standing among the top revenue drivers further indicates a staffed behavioral-health program and ongoing per‑diem behavioral health utilization integrated into the clinic’s service mix.

D0999 is an outsized revenue driver despite lacking a description in the provided table; it produces $6.9M and ranks #1 of 166 providers in-state (100th percentile; extreme outlier), which signals that this nonstandard or catch‑all code is being used at volumes and payment levels far above typical peers. Analysts should treat D0999 as a material line item for commercial negotiations and utilization reviews, and investigate local plan coding/policy contexts that may explain its dominant role.

The provider shows statewide dominance on several individual codes: T1015 ranks #7 of 806 (99th percentile; extreme outlier) and H2020 ranks #17 of 319 (95th percentile; notably above typical state volume), indicating unusually high in‑state volume for both bundled clinic encounters and therapeutic behavioral services. These rank positions imply SWLA CENTER FOR HEALTH SERVICES is a major Medicaid site-of-service for clinic-based primary care and behavioral health in Louisiana.

Multiple dental procedure codes (for example D7140, D0330, D0150, D0140) appear with very high claim counts and top-tier ranks — several labeled as extreme outliers — but they contribute only a small share of Medicaid revenue because average paid per claim is very low. This pattern is consistent with high-volume, low-reimbursement dental activity under Medicaid payment constraints and suggests the center operates a substantial dental access line even though it does not materially drive total dollars.

A set of high-volume procedure and evaluation codes (including 99213, 99214, 90791, 90832, G8427, 98960, and D0274) show very large claim counts and top-percentile ranks while reporting $0 average paid/claim and $0 revenue in the supplied data. This discrepancy indicates significant billed activity that is not reflected in paid‑amount fields in this dataset — a data point buyers or payers should probe further rather than assume an absence of service.

The practice’s NPI was enumerated on 2006-06-25 (~20 years ago), reflecting long-standing presence in the Lake Charles market; combined with the code-level dominance described above, this tenure supports the view that SWLA CENTER FOR HEALTH SERVICES is an established regional delivery organization whose Medicaid utilization patterns may be stable and institutionally embedded.

Medicaid: Complete Services Breakdown

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

203 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	155,430	$140	$22.4M
D0999	N/A	74,880	$90	$6.9M
H2020	Therapeutic behavioral services, per diem	34,500	$110	$3.7M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	28,430	$1	$85.3K
D0330	N/A	12,520	$1	$37.5K
D0150	Comprehensive oral evaluation – new or established patient	16,760	$1	$33.5K
D0140	Limited oral evaluation – problem focused	12,910	$1	$25.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,220	$1	$18.6K
D0120	Periodic oral evaluation - established patient	4,330	$1	$4.3K
D0210	Intraoral - complete series of radiographic images	1,010	$1	$4K

Showing 1–10 of 203

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

Swla Center For Health Services — 6 of 17 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

203 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	17	320	2,270	$90	$637.8K
D0999	N/A	1	170	1,120	$90	$447K
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…	29	90	650	$40	$404.2K
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…	163	2,890	980	$40	$246.8K
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…	34	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.	90	170	1,360	$30	$190K
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…	221	360	780	$50	$141.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	52	190	1,000	$30	$139.9K
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…	156	420	740	$50	$137.3K

Showing 1–10 of 203

Related Providers

Other providers that share a Tax Identification Number (TIN) with Swla Center For Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swla Center For Health Services	LA	Federally Qualified Health Center (FQHC)	$0	$13.2M
Maneesh Gupta	CO	Gastroenterology Physician	$109K	$0
Theresa Ivey	MO	Clinical Social Worker	$5.3K	$0

Nearby Providers

Other providers in the same ZIP code as Swla Center For Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Louisiana Hospital Association Inc	LA	General Acute Care Hospital	$0	$42.9M
Children's Clinic Of Southwest Louisiana, Inc.	LA	Pediatrics Physician	$0	$24M
Heaven-on-earth Network, Inc.	LA	Personal Care Attendant	$0	$20.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$16.8M
The Pathology Laboratory, Inc.	LA	Clinical Medical Laboratory	$1.6M	$13.7M
All About You Home Healthcare Inc	LA	In Home Supportive Care Agency	$0	$11.3M
Professional Emergency Medicine Management -- Lake Charles LLC	LA	Emergency Medicine Physician	$0	$10.8M
Compassionate Covenant Adult Day Health Care Inc.	LA	Adult Day Care Clinic/Center	$0	$10.6M
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$10.2M
Sound Physicians Emergency Medicine Of Louisiana Inc	LA	Emergency Medicine Physician	$0	$9M

Swla Center For Health Services — Billing Profile & Reimbursement Data

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Swla Center For Health Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References