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.

South Louisiana Medical Associates (NPI 1942301379)

South Louisiana Medical Associates is a surgery physician provider located in Houma, Louisiana. This profile covers 0 Medicare and 242 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	South Louisiana Medical Associates
Address	1990 Industrial Blvd
City	Houma
State	LA
ZIP	70363
Taxonomy	Surgery Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$21.3M
Medicare	$0

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

242 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…	91,320	$40	$3.5M
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…	90,900	$30	$2.6M
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.	39,660	$70	$2.6M
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.	51,460	$40	$2M
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.	21,440	$90	$1.9M
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…	29,560	$40	$1.1M
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	13,580	$30	$366.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	9,520	$40	$361.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,440	$50	$341.5K
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…	6,140	$50	$331.5K

Showing 1–10 of 242

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

South Louisiana Medical Associates — 8 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

242 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.	57	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.	61	240	4,030	$130	$2M
T1015	Clinic visit/encounter, all-inclusive	608	810	4,280	$110	$1.8M
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.	23	270	11,250	$90	$1.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	15	100	760	$100	$441.2K
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…	16	90	1,270	$50	$375.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	25	150	1,070	$60	$346.2K
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.	93	170	1,260	$70	$322.4K
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…	24	2,890	980	$40	$246.8K
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…	41	190	660	$70	$234.9K

Showing 1–10 of 242

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Louisiana Medical Associates	LA	Internal Medicine Physician	$0	$7.4M
Jordan Johnson	OK	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Stephen Hypes	SC	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
James Crowe	LA	Internal Medicine Physician	$425.9K	$0
Sandra Charpentier	LA	Internal Medicine Physician	$95.1K	$0
Donald Mazzulla	LA	Retina Specialist (Ophthalmology) Physician	$94.8K	$0
Terry Delord	LA	Internal Medicine Physician	$93.5K	$0
Adham Al Hariri	LA	Ophthalmology Physician	$87.1K	$0
Shaminder Gupta	LA	Nephrology Physician	$81.1K	$0
Richard Awtrey	LA	Gastroenterology Physician	$62.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Regional Medical Corporation	LA	General Acute Care Hospital	$0	$31.5M
Delta Medical Group	LA	Urgent Care Clinic/Center	$0	$7.7M
Terrebonne Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$5.3M
Drew Bienvenu	LA	Emergency Medicine Physician	$44.4K	$0
Corey Dupre	LA	Physician Assistant	$37K	$0
Howard Woo	LA	Urology Physician	$36.3K	$0
Nicolas Vergara	LA	Psychiatry Physician	$35.4K	$0
Christopher Powell	LA	Medical Physician Assistant	$32.5K	$0
Jessica Borne	LA	Diagnostic Radiology Physician	$20.5K	$0
Vishal Vyas	LA	Clinical Cardiac Electrophysiology Physician	$13.3K	$0

South Louisiana Medical Associates — Billing Profile & Reimbursement Data

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South Louisiana Medical Associates — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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