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.

Biltmore Health Services Inc (NPI 1851781595)

Biltmore Health Services Inc is a community/behavioral health agency provider located in Lafayette, Louisiana. This profile covers 0 Medicare and 12 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	Biltmore Health Services Inc
Address	202 General Gardner Ave
City	Lafayette
State	LA
ZIP	70501
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 3, 2015

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	82,370	$80	$6.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	69,030	$90	$6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,530	$40	$167.7K
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…	3,100	$40	$114.5K
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…	1,550	$50	$79.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	390	$60	$25.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	890	$20	$20.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	340	$30	$10.5K
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…	240	$40	$9.6K
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…	200	$30	$6.3K

Showing 1–10 of 12

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

Biltmore Health Services Inc — 3 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	15	460	5,030	$80	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	9	400	6,490	$60	$958.2K
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…	1,228	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…	1,059	3,230	1,120	$30	$204.3K
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…	492	1,170	160	$80	$102.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	243	700	180	$60	$77K
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…	622	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,…	932	1,460	440	$20	$64K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	342	910	440	$40	$61.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	98	350	120	$90	$38.4K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Serenity Square LLC	LA	In Home Supportive Care Agency	$0	$33.2M
Louisiana Health & Rehabilitation Coptions	LA	Intellectual & Developmental Disabilities Psychologist	$0	$23.7M
David M Vieth, Dds, A Professional Corporation	LA	General Practice Dentistry	$0	$22.6M
Serenity Square LLC	LA	In Home Supportive Care Agency	$0	$18.1M
Swla Center For Health Services	LA	Federally Qualified Health Center (FQHC)	$0	$13.2M
Jeanella Cares, LLC	LA	Personal Care Attendant	$0	$12.7M
Acadiana Recovery And Rehab Center	LA	Substance Abuse Rehabilitation Facility	$0	$12.4M
Medical Advantage Care, L.L.C.	LA	In Home Supportive Care Agency	$0	$11M
Iberia Comprehensive Community Health Center Inc	LA	Federally Qualified Health Center (FQHC)	$0	$6.9M
Total Homecare Services, LLC	LA	In Home Supportive Care Agency	$0	$6.9M

Biltmore Health Services Inc — Billing Profile & Reimbursement Data

Sign up for Biltmore Health Services Inc — Billing Profile & Reimbursement Data policy alerts

Biltmore Health Services Inc — Billing Profile & Reimbursement Data

Sign up for Biltmore Health Services Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References