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.

Clhg-ruston LLC (NPI 1962024026)

Clhg-ruston LLC is a general acute care hospital provider located in Ruston, Louisiana. This profile covers 0 Medicare and 107 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	Clhg-ruston LLC
Address	401 E Vaughn Ave
City	Ruston
State	LA
ZIP	71270
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 12, 2020

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

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

107 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.	16,930	$120	$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.	11,470	$70	$814.7K
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.	4,980	$150	$747.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,610	$160	$420K
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.	1,240	$170	$215.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	4,710	$40	$169.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2,010	$50	$94.6K
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.	1,840	$50	$90K
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.	160	$560	$87.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	12,260	$10	$85.8K

Showing 1–10 of 107

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

Clhg-ruston LLC — 0 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

107 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.	110	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.	111	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.	131	270	11,250	$90	$1.8M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	94	100	620	$40	$560K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	34	30	1,340	$60	$499.3K
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.	75	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…	72	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.	69	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.	75	170	1,260	$70	$322.4K
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…	66	130	2,800	$30	$258.7K

Showing 1–10 of 107

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Blackwelder	LA	Internal Medicine Physician	$259.4K	$0
Ravali Tarigopula	MS	Pulmonary Disease Physician	$226.9K	$8.8K
Elvin Tubre	LA	Internal Medicine Physician	$223.2K	$0
Michael Phillips	LA	Family Medicine Physician	$177.6K	$0
Kamal Masri	LA	Internal Medicine Physician	$168K	$0
Kenneth Metoyer	LA	Family Medicine Physician	$106K	$0
Johnathan Baines	LA	Family Medicine Physician	$85.9K	$0
Robert Rickman	IN	Critical Care Medicine (Internal Medicine) Physician	$71K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana United Methodist Children & Family Services, Inc	LA	Psychiatric Residential Treatment Facility	$0	$99.5M
Lincoln Nova Vital Recovery Center,llc	LA	Substance Abuse Rehabilitation Facility	$0	$36.8M
Pafford Emergency Medical Services, Inc.	LA	Ambulance	$4.6M	$23.2M
People Centered Support Services, Inc.	LA	Community/Behavioral Health Agency	$0	$14.4M
Certicare, Inc	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Green Clinic LLC	LA	Family Medicine Physician	$0	$9.5M
Peach Tree For Kids - Ruston, LLC	LA	Pediatric Dentistry	$0	$9M
Little Helper's, LLC	LA	Health Maintenance Organization	$0	$7.8M
Winn Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$7.3M
Community Bridges West, Inc.	LA	In Home Supportive Care Agency	$0	$4.7M

Clhg-ruston LLC — Billing Profile & Reimbursement Data

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Clhg-ruston 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

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