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.

Red River Associates LLC (NPI 1861629073)

Red River Associates LLC is a specialist provider located in Alexandria, Louisiana. This profile covers 0 Medicare and 40 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	Red River Associates LLC
Address	221 Windermere Blvd
City	Alexandria
State	LA
ZIP	71303
Taxonomy	Specialist
NPI Enumerated	June 15, 2009

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

40 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…	46,760	$30	$1.5M
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…	21,640	$50	$1.1M
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…	12,300	$80	$1M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	5,600	$130	$750K
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…	13,580	$50	$665.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2,090	$190	$403.6K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	7,710	$40	$300.8K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	1,820	$100	$181.6K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	18,700	$10	$168.3K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	2,990	$50	$137.6K

Showing 1–10 of 40

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

Red River Associates LLC — 13 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

40 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…	140	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…	111	3,230	1,120	$30	$204.3K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	30	60	210	$260	$127.2K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	3	80	220	$140	$122.4K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	14	40	260	$120	$117K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	26	40	280	$250	$103.8K
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…	24	1,170	160	$80	$102.7K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	2	40	240	$110	$78.1K
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…	186	700	180	$60	$77K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2	50	180	$240	$75.4K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Guillory	LA	Otolaryngology Physician	$286.5K	$0
Renick Webb	LA	Otolaryngology Physician	$258.2K	$0
Christian Wold	LA	Otolaryngology Physician	$207.4K	$0
Joseph Badeaux	LA	Otolaryngology Physician	$152.3K	$19.3K
Daniel Noel	LA	Otolaryngology Physician	$88.3K	$0
Shannon Knight	LA	Family Nurse Practitioner	$77.1K	$0
Sarah Johnson	LA	Audiologist	$35.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairway Counseling Agency, Inc.	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$38.1M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$14.7M
Guardian Angels Care Services Inc	LA	Personal Care Attendant	$0	$13M
Kid's Dental Zone Alexandria LLC	LA	Pediatric Dentistry	$0	$8.4M
Prescribed Pediatric Extended Care, Inc	LA	Medically Fragile Infants and Children Day Care	$0	$8.1M
Baymark Health Services Of Louisiana, Inc.	LA	Substance Use Disorder Rehabilitation Clinic/Center	$166.6K	$6.8M
Crossroads Regional Hospital, LLC	LA	Psychiatric Hospital	$0	$5.8M
Alexandria Eye And Laser Center, LLC	LA	Ophthalmology Physician	$0	$5.3M
We Care Behavioral Health, LLC	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.6M
La Imaging Services LLC	LA	Mobile Radiology Clinic/Center	$1.6M	$1.3M

Red River Associates 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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