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.

Springhill Medical Services, Inc. (NPI 1871507616)

Field	Value
Entity Type	Organization
Organization	Springhill Medical Services, Inc.
Address	401 11th St Ne
City	Springhill
State	LA
ZIP	71075
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	64,810	$180	$11.6M
H2020	Therapeutic behavioral services, per diem	860	$150	$125.3K
00000	N/A	620	$0	$0
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	60	$0	$0
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	320	$0	$0
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	20	$0	$0
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	1,450	$0	$0
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	40	$0	$0
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	1,720	$0	$0
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	880	$0	$0

Showing 1–10 of 47

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

Springhill Medical Services, Inc. — 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	49	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	209	320	2,270	$90	$637.8K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	121	130	2,800	$30	$258.7K
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…	329	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…	104	3,230	1,120	$30	$204.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	341	420	740	$50	$137.3K
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…	949	1,170	160	$80	$102.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	338	490	310	$50	$84.7K
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…	1,225	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,…	656	1,460	440	$20	$64K

Showing 1–10 of 47

Related Providers

Other providers that share a Tax Identification Number (TIN) with Springhill Medical Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manish Dhawan	LA	Hematology & Oncology Physician	$870.9K	$24.3K
James Rush	TX	Psychiatry Physician	$586.3K	$0
Patrick Deere	LA	Family Medicine Physician	$273.1K	$0
Sanjaykumar Shah	LA	Family Medicine Physician	$243.1K	$0
Christopher Wilson	LA	Urology Physician	$193K	$0
George King	LA	Psychiatric/Mental Health Nurse Practitioner	$124.3K	$0
Marsha Stapleton	LA	Psychiatric/Mental Health Nurse Practitioner	$115.8K	$0
Jason Horn	LA	Certified Registered Nurse Anesthetist	$43.4K	$0
Traci Burks	LA	Psychiatric/Mental Health Nurse Practitioner	$34.3K	$0
Amanda Ragland	AR	Family Nurse Practitioner	$21.1K	$0

Nearby Providers

Other providers in the same ZIP code as Springhill Medical Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Ham	LA	Physician Assistant	$34.6K	$0
Jerry Sessions	LA	Family Medicine Physician	$14.1K	$0

Springhill Medical Services, Inc. — Billing Profile & Reimbursement Data

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Springhill Medical Services, Inc. — 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