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 General Medical Center (NPI 1962537407)

Baton Rouge General Medical Center is a general acute care hospital provider located in Baton Rouge, Louisiana. This profile covers 0 Medicare and 207 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	Baton Rouge General Medical Center
Address	8585 Picardy Ave
City	Baton Rouge
State	LA
ZIP	70809
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicaid	$24.3M
Medicare	$0

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

207 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	34,710	$180	$6.4M
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.	25,480	$80	$2.1M
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.	15,740	$120	$1.9M
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.	12,000	$160	$1.9M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	29,200	$30	$817.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	29,180	$30	$817.1K
16020	This CPT code is for the dressing and/or debridement of a partial–thickness burn (either initially or subsequently). In this instance the burn is small (less than 5% of the total body surface area).	3,170	$200	$639.9K
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.	9,450	$60	$605K
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…	20,950	$30	$586.5K
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.	81,320	$10	$569.2K

Showing 1–10 of 207

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 General Medical Center — 6 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

207 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.	114	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.	37	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.	72	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…	64	100	620	$40	$560K
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.	51	100	760	$100	$441.2K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	46	90	650	$40	$404.2K
16020	This CPT code is for the dressing and/or debridement of a partial–thickness burn (either initially or subsequently). In this instance the burn is small (less than 5% of the total body surface area).	2	10	80	$230	$360.6K
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.	61	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.	24	170	1,260	$70	$322.4K
87653	The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…	22	30	390	$20	$285.9K

Showing 1–10 of 207

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baton Rouge General Medical Center	LA	General Acute Care Hospital	$0	$8.1M
Jingya Wang	LA	Radiation Oncology Physician	$856.4K	$0
Andrew Elson	LA	Radiation Oncology Physician	$825.1K	$0
Gregory Henkelmann	LA	Radiation Oncology Physician	$754.9K	$0
Konstantin Kovtun	LA	Radiation Oncology Physician	$709K	$0
Richard Bermudez	LA	Radiation Oncology Physician	$498.9K	$0
Maurice King	LA	Radiation Oncology Physician	$491.2K	$0
Charles Wood	LA	Radiation Oncology Physician	$465.4K	$0
Rockne Hymel	LA	Radiation Oncology Physician	$437.4K	$0
Mrugesh Soni	VA	Interventional Cardiology Physician	$435.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prescribed Pediatric Extended Care, Inc	LA	Medically Fragile Infants and Children Day Care	$0	$40.3M
Cognitive Development Center Of Baton Rouge	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29M
Serenity Treatment Center Of Louisiana LLC	LA	Substance Abuse Rehabilitation Facility	$0	$22.4M
Special Needs Unlimited, L.L.C.	LA	Developmental Disabilities Clinic/Center	$0	$22.4M
Caregiver Homes Of Louisiana, Inc	LA	Case Management Agency	$0	$15.9M
Baton Rouge Treatment Center, LLC	LA	Methadone Clinic	$139.4K	$13.5M
Leading Health Care Of La, Inc.	LA	In Home Supportive Care Agency	$0	$12.8M
Alliance Care LLC	LA	In Home Supportive Care Agency	$0	$12.3M
Hometown Senior Care LLC	LA	In Home Supportive Care Agency	$0	$11M
Kredenna Beverly	LA	Pediatric Dentistry	$0	$9.2M

Baton Rouge General Medical Center — 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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