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.

Franklin Parish Hospital Service Dist 1 (NPI 1902851124)

Field	Value
Entity Type	Organization
Organization	Franklin Parish Hospital Service Dist 1
Address	2104 Loop Rd Ste C
City	Winnsboro
State	LA
ZIP	71295
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$29.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available datasets: there is no Medicare billing on file and Total Medicaid revenue is $29.4M. The absence of Medicare activity combined with sizable Medicaid revenue indicates operations and reimbursement exposure are concentrated in the state Medicaid program rather than split across federal Medicare and state Medicaid.

Revenue is highly concentrated in a single code set: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. T1015 alone generates $27.8M (94.5% of the provider's Medicaid revenue), while H2020 accounts for $1.6M (5.5%) and 99051 contributes a de minimis share; this creates a heavy dependence on the all‑inclusive clinic visit code for topline Medicaid dollars.

The code mix signals an operational model focused on bundled clinic encounters and basic ambulatory services. T1015 (Clinic visit/encounter, all‑inclusive) dominance suggests the site bills comprehensive visit encounters rather than itemizing many services, and the presence of H2020 (Therapeutic behavioral services, per diem) implies an on‑site behavioral health/per‑diem service line alongside routine clinic care.

Competitive standing for T1015 is extreme within the state: T1015 ranks #1 of 806 providers in‑state (100th percentile; extreme outlier), marking this provider as a dominant statewide source of billed all‑inclusive clinic visits. H2020 ranks #35 of 319 providers (89th percentile; typical), indicating above‑average but not top‑tier statewide activity for behavioral health per diems, while 99051 ranks #83 of 269 (69th percentile), reflecting modest use of after‑hours/holiday encounter billing relative to peers.

The dataset shows many very high‑frequency CPT/HCPCS codes with $0 avg paid/claim in the provided Medicaid extract (examples include 99213 with 154.9K claims, 96372 with 82.8K claims, 99212 with 51.2K claims, and J1885 with 28.7K claims). This pattern is consistent with T1015 functioning as an all‑inclusive line item that may absorb payment for multiple discrete services in claims data, rather than indicating meaningful paid revenue tied to each individual CPT in the extract.

Service mix beyond visits points to routine preventive and point‑of‑care activity: the provider reports high claim counts for immunization and lab codes (examples include 90471 with 11.2K claims, 90472 with 13.4K claims, 87804 with 16.6K claims, and 87811 with 9.9K claims). These volumes align with a rural clinic delivering vaccinations, rapid infectious disease testing, and other outpatient preventive services that are commonly bundled into clinic encounter billing.

Given the concentration in T1015 and the presence of H2020, payers and contract analysts should treat this site as a rural clinic delivering broad, bundled ambulatory care with a behavioral health component. Contracting and utilization reviews should prioritize per‑encounter intensity and the appropriateness of per‑diem behavioral services, since shifts in T1015 utilization would materially change the provider's Medicaid revenue profile.

The provider has longstanding registration in federal directories, with NPI enumerated on 2006-05-24 (~20 years ago) and a taxonomy listed as Rural Health Clinic/Center. This tenure combined with the rural‑clinic taxonomy supports the interpretation that the billing profile represents sustained primary care and ambulatory clinic activity in a rural setting rather than a newly established or specialty facility.

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	229,940	$120	$27.8M
H2020	Therapeutic behavioral services, per diem	16,880	$100	$1.6M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	1,080	$10	$6.5K
0001A	N/A	160	$0	$0
0002A	N/A	130	$0	$0
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	140	$0	$0
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	1,190	$0	$0
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	20	$0	$0
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	1,380	$0	$0
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…	380	$0	$0

Showing 1–10 of 83

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

Franklin Parish Hospital Service Dist 1 — 1 of 3 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

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	35	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…	133	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…	660	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…	21	3,230	1,120	$30	$204.3K
99391	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…	45	360	780	$50	$141.5K
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…	32	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…	1,056	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.	34	490	310	$50	$84.7K
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…	66	130	380	$50	$65.6K

Showing 1–10 of 83

Related Providers

Other providers that share a Tax Identification Number (TIN) with Franklin Parish Hospital Service Dist 1, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franklin Parish Hospital Service Dist 1	LA	Rural Acute Care Hospital	$0	$12.6M
Manish Dhawan	LA	Hematology & Oncology Physician	$870.9K	$24.3K
Ryan Tompkins	FL	Diagnostic Radiology Physician	$496.4K	$0
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K
Khaldoun Soudan	LA	Nephrology Physician	$353.2K	$0
Padam Hirachan	MS	Nephrology Physician	$352.4K	$190
Caleb Rivera	FL	Diagnostic Radiology Physician	$315.7K	$0
Martin Degravelle	LA	Orthopaedic Hand Surgery Physician	$309.5K	$0
Ralph Abraham	LA	Diagnostic Radiology Physician	$304.6K	$0
David Colvin	WI	Family Medicine Physician	$275.6K	$0

Nearby Providers

Other providers in the same ZIP code as Franklin Parish Hospital Service Dist 1, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast La Ambulance Svc LLC	LA	Ambulance	$1.5M	$14.6M
Winnsboro Medical Clinic	LA	Occupational Therapist	$0	$5.2M
Jimmy Coughran	LA	Family Medicine Physician	$527.8K	$0
Charles Reed	LA	Family Medicine Physician	$304.8K	$0
Chad Porter	LA	Diagnostic Radiology Physician	$136.7K	$0
Nicholas Guilbeau	LA	Physical Therapist	$121K	$0
Jon Richardson	LA	Physical Therapist	$117.8K	$0
Jed Robinson	LA	Urology Physician	$115.5K	$0
John Ulmer	LA	Family Nurse Practitioner	$78.7K	$0
Billie Bailey	LA	Family Nurse Practitioner	$76.5K	$0

Franklin Parish Hospital Service Dist 1 — Billing Profile & Reimbursement Data

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Franklin Parish Hospital Service Dist 1 — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References