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.

Access Health Louisiana (NPI 1790163715)

Field	Value
Entity Type	Organization
Organization	Access Health Louisiana
Address	42351 Phyllis Ann Dr
City	Hammond
State	LA
ZIP	70403
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 11, 2015

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

64 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,460	$110	$3.2M
H2020	Therapeutic behavioral services, per diem	16,600	$90	$1.4M
1034F	No Summary found for this code	920	$0	$0
1036F	N/A	4,040	$0	$0
1111F	No Summary found for this code	11,890	$0	$0
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	170	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	710	$0	$0
1159F	No Summary found for this code	26,510	$0	$0
1160F	No Summary found for this code	26,390	$0	$0
3008F	No Summary found for this code	5,220	$0	$0

Showing 1–10 of 64

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

Access Health Louisiana — 0 of 2 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

64 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	164	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	36	320	2,270	$90	$637.8K
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…	543	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…	190	210	630	$70	$239.6K
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…	283	3,230	1,120	$30	$204.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	215	270	3,140	$10	$111K
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…	290	1,170	160	$80	$102.7K
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…	327	1,280	180	$50	$64.8K
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…	276	380	1,730	$1	$64.6K
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,…	678	1,460	440	$20	$64K

Showing 1–10 of 64

Related Providers

Other providers that share a Tax Identification Number (TIN) with Access Health Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$32.1M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$15.2M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$9.2M
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$7.5M
Benjamin Guidry	LA	Ophthalmology Physician	$412.7K	$81.3K
Keisha Harvey	LA	Family Medicine Physician	$38.1K	$264.1K
Joanna Holton	LA	Family Medicine Physician	$133.9K	$0
Jerry Stallings	LA	Family Nurse Practitioner	$107.1K	$0
Darria Bourgeois	LA	Psychiatric/Mental Health Nurse Practitioner	$69.4K	$0
Jillian Ashbolt	LA	Family Nurse Practitioner	$67.9K	$0

Nearby Providers

Other providers in the same ZIP code as Access Health Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Inc	LA	Developmentally Disabled Services Day Training Agency	$0	$46.6M
North Oaks Medical Center, LLC	LA	Rural Acute Care Hospital	$0	$37.5M
Always Tlc, LLC	LA	In Home Supportive Care Agency	$0	$18.8M
North Oaks Medical Center, LLC	LA	General Acute Care Hospital	$0	$18.3M
North Oaks Pediatric Clinic, L.L.P.	LA	Pediatrics Physician	$0	$14.2M
Choices Coordinated Care Solutions, Inc.	LA	Case Management Agency	$0	$13.9M
Gloss Enterprise	LA	In Home Supportive Care Agency	$0	$13.6M
Wilkinson Care Giving, LLC	LA	In Home Supportive Care Agency	$0	$11.7M
North Oaks Obstetrics & Gynecology	LA	Gynecology Physician	$0	$8.5M
Egan Healthcare Of Northshore, Inc	LA	Home Health Agency	$0	$8.5M

Access Health Louisiana — Billing Profile & Reimbursement Data

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Access Health Louisiana — Billing Profile & Reimbursement Data

Sign up for Access Health Louisiana — 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