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.

Woman's Hospital Foundation (NPI 1912943184)

Field	Value
Entity Type	Organization
Organization	Woman's Hospital Foundation
Address	100 Woman's Way
City	Baton Rouge
State	LA
ZIP	70817
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and instead operates effectively as a single-payer Medicaid facility, with total Medicaid revenue of $28.5M. The absence of Medicare claims indicates the provider’s reported commercial footprint in this dataset is concentrated entirely in Medicaid billing.

Revenue concentration is meaningful but not extreme: the top 3 Medicaid codes (99284, 99283, 76816) together account for 30.2% of the provider’s total Medicaid revenue. Those top codes include two emergency department E/M services (99284 at $3M, 11.8%; 99283 at $2.5M, 10.0%) and a prenatal follow‑up ultrasound (76816 at $2.1M, 8.4%), signaling a mix of ED throughput and obstetric imaging as primary revenue drivers.

The code mix points to a combined emergency and maternal–fetal service profile. High-revenue ED codes 99284 ($3M, 11.8%), 99283 ($2.5M, 10.0%), and 99282 ($2M, 7.7%) show the hospital provides a range of ED visit complexity from moderate to straightforward medical decision making, while multiple ultrasound and prenatal codes (76816, 76819, 76811, 76817, 76805, 76830, 59025) and the obstetric lab panel 80081 ($373.1K, 1.5%) indicate a substantial maternity/OB imaging program. This combination is consistent with a general acute care hospital that has a high-volume women’s health and emergency department operating in parallel.

The provider is a major in-state player for many obstetric imaging and outpatient visit codes: 76816 ranks #7 of 114 providers in-state (95th percentile; notably above typical state volume), 76811 ranks #7 of 46 (87th percentile; typical, unremarkable volume), and 76819 ranks #10 of 106 (91th percentile; typical, unremarkable volume). By contrast, its ED coding footprint is more middling statewide: 99284 ranks #140 of 266 (48th percentile; typical, unremarkable volume) and 99283 ranks #125 of 266 (53th percentile; typical, unremarkable volume), suggesting ED volume is not dominant relative to other Louisiana hospitals even though ED codes are revenue drivers for this provider.

Reproductive health services and lab testing appear to be a distinct strength. High-volume STI and screening tests 87591 and 87491 each show 39.3–39.4K claims with $1.3M revenue apiece (each 5.0% of total Medicaid revenue) and rank in the 98th percentile in-state (notably above typical state volume). The NAAT Trichomonas test 87661 is listed as an extreme outlier (28.5K claims, $882.5K, 3.5% of Medicaid revenue; 97th percentile), which together with strong contraception supply codes J7307 (rank #1 of 8, 100th percentile; $564.1K, 2.2%) and J7298 (rank #1 of 3, 100th percentile; $247.5K, 1.0%) signals a high-throughput sexual and reproductive health service line.

Several product and procedure codes place the provider at or near the top statewide, implying specialized service offerings: J7307 (etonogestrel implant) is rank #1 of 8 providers in-state (100th percentile; $564.1K, 2.2%), 80081 (obstetric panel) is rank #1 of 12 (100th percentile; $373.1K, 1.5%), and J1050 (medroxyprogesterone injection) is rank #2 of 109 (99th percentile; $903.2K, 3.6%). These #1 and top-percentile positions indicate the provider is a leading in-state source for contraception and prenatal screening services within Medicaid.

The provider’s outpatient primary care and routine visit coding also shows large volume: 99213 appears with 57.2K claims generating $1.9M (7.4% of Medicaid revenue) and ranks #80 of 3226 providers in-state (98th percentile; notably above typical state volume). This suggests a substantial ambulatory or clinic component supporting high visit counts, which complements the hospital’s maternity and ED activity profile rather than being a minor service line.

The NPI tenure shows the provider has been enumerated since 2006-06-22 (~20 years ago), indicating an established presence in the Baton Rouge market. Combined with the high-state percentiles across multiple women’s health, lab, and contraceptive codes, the tenure supports the interpretation that this hospital is a stable, long-standing regional provider specializing in obstetric and reproductive services while maintaining a functional emergency department.

Medicaid: Complete Services Breakdown

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

169 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8,890	$340	$3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	12,010	$210	$2.5M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	15,990	$130	$2.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	15,870	$120	$2M
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	11,100	$180	$2M
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…	57,200	$30	$1.9M
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…	6,680	$270	$1.8M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	39,360	$30	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	39,340	$30	$1.3M
J1050	Injection, medroxyprogesterone acetate, 1 mg	8,140	$110	$903.2K

Showing 1–10 of 169

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

Woman's Hospital Foundation — 12 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

169 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	140	270	9,980	$110	$2.6M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	200	240	4,030	$130	$2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	125	270	11,250	$90	$1.8M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	59	60	1,160	$280	$690.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	39	90	1,270	$50	$375.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	12	170	1,260	$70	$322.4K
87653	The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…	4	30	390	$20	$285.9K
G0378	Hospital observation service, per hour	75	80	580	$210	$270.6K
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…	127	130	2,800	$30	$258.7K
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…	24	40	1,010	$90	$256.2K

Showing 1–10 of 169

Nearby Providers

Other providers in the same ZIP code as Woman's Hospital Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baton Rouge Neonatal Associates, Inc.	LA	Neonatal-Perinatal Medicine Physician	$0	$15.6M
Care Inc	LA	Developmentally Disabled Services Day Training Agency	$0	$13.2M
Louisiana Women's Healthcare Associates LLC.	LA	Obstetrics & Gynecology Physician	$0	$11M
A Step Forward, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Louisiana Anesthesiology Group, L.L.C.	LA	Anesthesiology Physician	$0	$5.3M
Alpha One Imaging, LLC	LA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$653K	$545.7K
Sharon Lee	LA	Obstetrics & Gynecology Physician	$148.2K	$0
Jeremy Comeaux	LA	Physical Medicine & Rehabilitation Physician	$120.3K	$0
Lisa Bayhi	LA	Family Nurse Practitioner	$72.7K	$0
Christopher Lee	LA	Family Medicine Physician	$67.2K	$0

Woman's Hospital Foundation — Billing Profile & Reimbursement Data

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Woman's Hospital Foundation — 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

Nearby Providers

Frequently Asked Questions

References