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.

Hospital Service District 1 Of East Baton Rouge Parish (NPI 1790057933)

Field	Value
Entity Type	Organization
Organization	Hospital Service District 1 Of East Baton Rouge Parish
Address	6300 Main St
City	Zachary
State	LA
ZIP	70791
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 3, 2012

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	47,330	$40	$1.9M
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,…	22,970	$30	$574.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8,040	$60	$474.5K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	3,500	$90	$304.8K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	3,150	$80	$251.7K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	3,870	$60	$232.2K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	3,310	$60	$211.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	250	$600	$149.6K
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…	2,380	$60	$140.5K
0502F	No Summary found for this code	5,220	$20	$125.2K

Showing 1–10 of 28

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

Hospital Service District 1 Of East Baton Rouge Parish — 5 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1,026	2,890	980	$40	$246.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	29	80	120	$610	$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…	109	3,230	1,120	$30	$204.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	26	110	560	$50	$173.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	14	110	470	$50	$128.8K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	18	60	80	$420	$120.6K
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…	187	1,170	160	$80	$102.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	18	170	270	$70	$87K
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…	425	1,280	180	$50	$64.8K
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,…	35	1,460	440	$20	$64K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hospital Service District 1 Of East Baton Rouge Parish, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Service District 1 Of East Baton Rouge Parish	LA	General Acute Care Hospital	$0	$10.1M
Ernest Thompson	LA	Internal Medicine Physician	$228.9K	$1.5M
Mark Mouton	LA	Internal Medicine Physician	$325.9K	$894.2K
Pradeep Nair	LA	Interventional Cardiology Physician	$649.3K	$0
Vinod Nair	LA	Interventional Cardiology Physician	$596.4K	$0
Babu Jasti	LA	Interventional Cardiology Physician	$535.3K	$0
John Lindsay	LA	Cardiovascular Disease Physician	$474.7K	$0
Mrugesh Soni	VA	Interventional Cardiology Physician	$435.3K	$0
Amit Patel	LA	Interventional Cardiology Physician	$267.5K	$0
Charles Thompson	LA	Interventional Cardiology Physician	$208.5K	$0

Nearby Providers

Other providers in the same ZIP code as Hospital Service District 1 Of East Baton Rouge Parish, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medcomp Sciences LLC	LA	Clinical Medical Laboratory	$45.7K	$12.9M
Bridge Builders Consultants, LLC	LA	In Home Supportive Care Agency	$0	$8.8M
Southeast Community Health Systems	LA	Federally Qualified Health Center (FQHC)	$0	$5.4M
Baron Williamson	LA	Ophthalmology Physician	$392K	$254.8K
Elizabeth Granger	LA	Optometrist	$15K	$619.6K
Michael Oswald	LA	Ophthalmology Physician	$240.6K	$0
Jason Allemond	LA	Optometrist	$81.5K	$146.9K
Narayanan Karayil Thekkoott	LA	Interventional Cardiology Physician	$197.7K	$0
Michael Jelks	LA	Optometrist	$30.2K	$150.2K
Manpreet Singh	LA	Interventional Cardiology Physician	$169.3K	$0

Hospital Service District 1 Of East Baton Rouge Parish — Billing Profile & Reimbursement Data

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Hospital Service District 1 Of East Baton Rouge Parish — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References