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.

Green Clinic LLC (NPI 1831178755)

Green Clinic LLC is a family medicine physician provider located in Ruston, Louisiana. This profile covers 0 Medicare and 197 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	Green Clinic LLC
Address	1200 S Farmerville St
City	Ruston
State	LA
ZIP	71270
Taxonomy	Family Medicine Physician
NPI Enumerated	January 10, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

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

197 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…	92,640	$30	$2.6M
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…	71,720	$30	$2.2M
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…	7,000	$60	$440.7K
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…	470	$540	$250.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	8,740	$30	$227.2K
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…	4,660	$50	$219.1K
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…	3,000	$70	$209.8K
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…	5,350	$30	$181.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	5,750	$30	$178.3K
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,…	11,980	$10	$167.8K

Showing 1–10 of 197

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

Green Clinic LLC — 7 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

197 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	683	810	4,280	$110	$1.8M
E0601	Continuous positive airway pressure (CPAP) device	69	80	2,450	$60	$338.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	22	40	1,010	$90	$256.2K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	27	50	590	$110	$249.9K
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…	29	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…	20	80	120	$610	$246.8K
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…	32	190	660	$70	$234.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	219	370	1,080	$40	$212.3K
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…	37	3,230	1,120	$30	$204.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	77	160	380	$170	$194.7K

Showing 1–10 of 197

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rochelle Robicheaux Metoyer	LA	Rheumatology Physician	$2.9M	$0
Green Clinic LLC	LA	Clinical Medical Laboratory	$513.8K	$1.3M
Jeffrey Weeks	LA	Diagnostic Radiology Physician	$652.9K	$0
Joshua Mandrell	LA	Dermatology Physician	$556.4K	$0
Navneet Sharma	LA	Physical Medicine & Rehabilitation Physician	$394.1K	$0
Raymond Germany	LA	Urology Physician	$261.7K	$0
Mark Blackwelder	LA	Internal Medicine Physician	$259.4K	$0
George Smith	LA	Cardiovascular Disease Physician	$253.3K	$0
David Osafo	LA	Hematology & Oncology Physician	$235.5K	$0
William Smith	LA	Cardiovascular Disease Physician	$234.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana United Methodist Children & Family Services, Inc	LA	Psychiatric Residential Treatment Facility	$0	$99.5M
Lincoln Nova Vital Recovery Center,llc	LA	Substance Abuse Rehabilitation Facility	$0	$36.8M
Pafford Emergency Medical Services, Inc.	LA	Ambulance	$4.6M	$23.2M
People Centered Support Services, Inc.	LA	Community/Behavioral Health Agency	$0	$14.4M
Certicare, Inc	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Peach Tree For Kids - Ruston, LLC	LA	Pediatric Dentistry	$0	$9M
Little Helper's, LLC	LA	Health Maintenance Organization	$0	$7.8M
Winn Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$7.3M
Clhg-ruston LLC	LA	General Acute Care Hospital	$0	$5.5M
Community Bridges West, Inc.	LA	In Home Supportive Care Agency	$0	$4.7M

Green Clinic LLC — Billing Profile & Reimbursement Data

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Green Clinic LLC — 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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