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.

Louisiana State University School Of Med In New Orleans Faculty Grou (NPI 1932492626)

Key Findings

Field	Value
Entity Type	Organization
Organization	Louisiana State University School Of Med In New Orleans Faculty Grou
Address	200 Henry Clay Ave
City	New Orleans
State	LA
ZIP	70118
Taxonomy	Pediatrics Physician
NPI Enumerated	May 27, 2011

Payer Source	Total Paid
Medicaid	$43M
Medicare	$0

This entity has no Medicare billing on file and reports $43M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available claims data. The absence of Medicare activity combined with a sizable Medicaid revenue base is important for network and contracting analysis because all measurable volume and clinical capacity in this profile is expressed through Medicaid.

Revenue is concentrated: the precomputed top-three Medicaid codes account for 35.7% of the provider's total Medicaid revenue. Those top three are 99214 ($5.7M revenue, 63.2K claims, $90 avg paid/claim; 14.0%), 99472 ($5.3M revenue, 17.7K claims, $302 avg paid/claim; 13.1%), and 99204 ($3.4M revenue, 26.1K claims, $132 avg paid/claim; 8.5%), indicating a heavy reliance on a small set of high-volume E/M and neonatal-critical-care services.

The code mix strongly indicates an integrated pediatric practice with substantial neonatal and inpatient critical-care activity. High-revenue neonatal/critical-care codes such as 99472 (17.7K claims, $5.3M), 99479 (26.7K claims, $2.7M), 99480 (20.7K claims, $1.9M), 99469 (4.4K claims, $1.4M) and newborn codes like 99460 (3.9K claims, $276K) point to significant NICU and newborn follow-up services rather than a purely outpatient clinic model.

Ambulatory evaluation-and-management (E/M) services also drive large volumes and revenue: 99214 (63.2K claims, $5.7M), 99213 (48.2K claims, $3M), 99204 (26.1K claims, $3.4M) and 99203 (28.4K claims, $2.4M) together show high outpatient/new-patient throughput. The provider ranks in the 99th percentile or higher for several of these E/M codes (for example, 99214 ranks #37 of 2894 and 99204 ranks #9 of 1172), signaling ambulatory visit volumes that are far above typical in-state peers.

Inpatient and critical-care E/Ms are a clear operational footprint: 99233 (44K claims, $3.3M) and 99232 (38.8K claims, $2M) are both high-volume contributors and rank in top percentiles in-state (99233 ranks #7 of 466, noted as an "extreme outlier"). Code 99291 (9.2K claims, $1.9M) further confirms notable critical care activity. Together these data indicate extensive inpatient management responsibilities in addition to neonatal services.

The provider is a competitive outlier in the state for several specific services. 99472 ranks #1 of 9 (100th percentile), indicating statewide leadership in that neonatal follow-up code; 99204 is described as an "extreme outlier, far above typical state volume" (rank #9 of 1172, 99th percentile); and 99214 is 99th percentile in-state (rank #37 of 2894). These rankings position the provider as a dominant in-state source for both pediatric E/M and neonatal critical-care codes.

There is evidence of niche procedural leadership beyond E/M and NICU activity: 54161 (foreskin excision, older than 28 days) generates $349.3K in revenue and ranks #1 of 9 in-state (100th percentile). While smaller in absolute revenue compared with core E/M and neonatal codes, this shows the provider also captures specialty procedural volume where peer counts are limited.

The NPI was enumerated on 2011-05-27 (~15 years ago), indicating an established billing presence over a multi-year period. For payer and provider analysts, the combination of long tenure, $43M in Medicaid revenue, concentrated top-code dependence (35.7% of Medicaid revenue), and multiple top-percentile rankings suggests stability and significant in-state market share in pediatric inpatient/critical and high-volume outpatient pediatric care.

Medicaid: Complete Services Breakdown

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

122 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	63,250	$90	$5.7M
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.	17,660	$300	$5.3M
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…	26,120	$130	$3.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	43,990	$80	$3.3M
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…	48,160	$60	$3M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	26,680	$100	$2.7M
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…	28,440	$80	$2.4M
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…	15,640	$130	$2M
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…	38,840	$50	$2M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	20,720	$90	$1.9M

Showing 1–10 of 122

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

Louisiana State University School Of Med In New Orleans Faculty Grou — 14 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

122 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.	254	270	9,980	$110	$2.6M
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.	5	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.	1	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.	2	20	5,680	$100	$863.1K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	5	30	2,260	$110	$460.1K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	2	20	600	$90	$381.2K
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…	37	2,890	980	$40	$246.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	199	210	630	$70	$239.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	20	190	660	$70	$234.9K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	13	50	210	$200	$206K

Showing 1–10 of 122

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Valley Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$79.8M
Louisiana State University School Of Medicine In New Orleans Faculty G	LA	Multi-Specialty Clinic/Center	$0	$67.9M
Golden Valley Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$49.1M
Lsuhn Billing LLC	LA	Multi-Specialty Clinic/Center	$0	$45.7M
Childrens Hospital Medical Practice Corporation	LA	Pediatrics Physician	$0	$33.2M
University Of Pittsburgh Physicians	PA	Psychiatry Physician	$0	$26.4M
Administrators Of The Tulane Educational Fund	LA	Specialist	$0	$24.6M
University Of Pittsburgh Physicians	PA	Specialist	$0	$23.6M
Golden Valley Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$23.4M
Physician Practice Partners	LA	Internal Medicine Physician	$0	$7.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	LA	Children's Hospital	$0	$150.9M
Children's Hospital	LA	Specialist	$0	$24.4M
Marillac Community Health Centers	LA	Federally Qualified Health Center (FQHC)	$0	$24.2M
Children's Hospital	LA	Specialist	$0	$9.8M
Acadia Health, LLC	LA	General Practice Dentistry	$0	$9.6M
Jamie Yeager	LA	Student in an Organized Health Care Education/Training Program	$302.6K	$0
Cary Donohue	LA	Podiatrist	$119.3K	$122.4K
Leslee Mcnabb	LA	Diagnostic Radiology Physician	$195.6K	$0
Nathan Macaluso	LA	Physical Therapist	$114.1K	$0
Felix Savoie	LA	Sports Medicine (Orthopaedic Surgery) Physician	$95.1K	$0

Louisiana State University School Of Med In New Orleans Faculty Grou — 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