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.

Baton Rouge Neonatal Associates, Inc. (NPI 1922193911)

Field	Value
Entity Type	Organization
Organization	Baton Rouge Neonatal Associates, Inc.
Address	500 Rue De La Vie St
City	Baton Rouge
State	LA
ZIP	70817
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	55,930	$100	$5.3M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	12,750	$290	$3.7M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	32,200	$90	$2.9M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	23,510	$50	$1.2M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3,250	$290	$937.2K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	18,520	$50	$833.4K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	16,650	$20	$399.7K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	100	$710	$72.9K
99478	The provider directs the care of a recovering low birthweight infant, whose current weight is less than 1500 grams.	640	$110	$68.9K
99477	The provider performs the initial day of inpatient hospital evaluation and management for a neonate, age 28 days or younger, who requires intensive care and observation as well as frequent…	170	$270	$44.8K

Showing 1–10 of 14

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

Baton Rouge Neonatal Associates, Inc. — 6 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	2	20	1,890	$280	$1M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3	10	630	$270	$927K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	1	20	5,680	$100	$863.1K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1	20	600	$90	$381.2K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	8	10	110	$680	$154.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	686	750	760	$30	$135.9K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	37	50	50	$150	$54.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	1	90	160	$40	$49.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2	350	180	$40	$44.4K
99477	The provider performs the initial day of inpatient hospital evaluation and management for a neonate, age 28 days or younger, who requires intensive care and observation as well as frequent…	3	10	130	$250	$30.5K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Baton Rouge Neonatal Associates, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woman's Hospital Foundation	LA	General Acute Care Hospital	$0	$28.5M
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

Baton Rouge Neonatal Associates, Inc. — Billing Profile & Reimbursement Data

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Baton Rouge Neonatal Associates, 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

Nearby Providers

Frequently Asked Questions

References