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.

Penn 123 LLC (NPI 1932640521)

Field	Value
Entity Type	Organization
Organization	Penn 123 LLC
Address	4933 Wabash St
City	Metairie
State	LA
ZIP	70001
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	March 15, 2017

Payer Source	Total Paid
Medicaid	$16.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	159,250	$90	$15M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	9,300	$110	$1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,110	$120	$134.3K

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

Penn 123 LLC — 0 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	7	60	42,430	$150	$11.3M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	11	40	3,520	$150	$1.4M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	83	130	2,290	$90	$928.9K

Nearby Providers

Other providers in the same ZIP code as Penn 123 LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David M. Vieth Dds, A Professional Corporation	LA	General Practice Dentistry	$0	$11.5M
Independence Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.5M
Atc Testing And Screening Services LLC	LA	Clinical Medical Laboratory	$9.7M	$11.3K
Jeffcare	LA	Federally Qualified Health Center (FQHC)	$0	$8M
C & M Medical Services, Inc.	LA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.2M
Harold R York Md	LA	Pediatrics Physician	$0	$6.8M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$5.9M
Marillac Community Health Centers	LA	Federally Qualified Health Center (FQHC)	$0	$4.9M
Lei Behavioral Services LLC	LA	Community/Behavioral Health Agency	$0	$4.6M
Jared Smith	LA	Family Nurse Practitioner	$2.6M	$0

Penn 123 LLC — Billing Profile & Reimbursement Data

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Penn 123 LLC — 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