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.

Southwest Louisiana Hospital Association Inc (NPI 1972549855)

Key Findings

Field	Value
Entity Type	Organization
Organization	Southwest Louisiana Hospital Association Inc
Address	1701 Oak Park Blvd
City	Lake Charles
State	LA
ZIP	70601
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$42.9M
Medicare	$0

This provider is effectively single‑payer in the available files: there is no Medicare billing on file while Total Medicaid revenue is $42.9M, so Medicaid dominates reported activity and financials for SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC. Analysts should treat Medicaid patterns as representative of the provider's operational footprint given the absence of Medicare claims.

Revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top 3 Medicaid codes (99284, 99285, 99283) account for 50.3% of the provider's Medicaid revenue. Specifically, 99284 generated $7.8M (45.8K claims, $170 avg/claim), 99285 generated $6.4M (28.8K claims, $221 avg/claim), and 99283 generated $3.4M (38.8K claims, $88 avg/claim), indicating ED visits are the single largest revenue driver.

The code mix and volumes indicate an ED-centric acute care operation supported by on-site imaging and endoscopy: notable imaging and procedure codes include 74177 (4K claims, $525 avg, $2.1M revenue), 70450 (5.9K claims, $188 avg, $1.1M revenue) and 43239 (4.8K claims, $229 avg, $1.1M revenue). These ancillary services align with a hospital that treats a high throughput of symptomatic patients presenting to the ED and requires same‑site diagnostic workups.

Competitive standing on core ED codes is broadly typical for the state: 99284 ranks #51 of 266 (81th percentile, labeled "typical, unremarkable volume"), 99285 ranks #43 of 237 (82th percentile, "typical, unremarkable volume"), and 99283 ranks #39 of 266 (86th percentile, "typical, unremarkable volume"). In plain terms, the provider is a modest but well‑established participant in Medicaid ED care statewide rather than a dominant ED system.

At the same time, the provider shows several extreme outlier volumes in lower‑acuity and throughput codes that signal very high visit counts and routine infusions: 99212 (82.2K claims, $27 avg, $2.2M) ranks #8 of 1461 (100th percentile; "extreme outlier, far above typical state volume"), 99211 (28.3K claims, $28 avg, $791.6K) ranks #9 of 838 (99th percentile; "extreme outlier, far above typical state volume"), 99281 ranks #2 of 92 (99th percentile; "extreme outlier, far above typical state volume"), and J7030 (21.7K claims, $19 avg, $411.8K) ranks #1 of 74 (100th percentile; "extreme outlier, far above typical state volume"). These signals point to very high throughput of low‑acuity encounters and frequent use of IV saline in outpatient/ED settings.

In‑house diagnostic and lab volume is substantial: 80053 (85.3K claims, $8 avg, $682.2K) ranks #14 of 267 (95th percentile; "notably above typical state volume") and 85025 (96.2K claims, $5 avg, $480.9K) ranks #11 of 379 (97th percentile; "notably above typical state volume"). High claims counts for labs and panels reinforce the picture of a busy facility performing routine testing for a large number of ambulatory and ED patients.

The provider also performs some higher‑cost, lower‑volume specialty care and implants but these are a small share of Medicaid revenue: J9271 (pembrolizumab) is 265 claims at $3131 avg for $829.7K (ranks #4 of 8, 57th percentile; "typical, unremarkable volume") while C1776 (joint device) generated $533.2K and ranks #1 of 5 (100th percentile; "notably above typical state volume"). These items indicate capacity for oncology infusions and implant procedures, but they are not the primary revenue drivers.

The provider has an established operating tenure in Lake Charles, with NPI enumerated (registered): 2006-06-21 (~20 years ago). Combined with the ED concentration and high ancillary volumes, the pattern is consistent with a community general acute care hospital that relies heavily on Medicaid ED throughput and on-site diagnostics to generate most of its reported revenue.

Medicaid: Complete Services Breakdown

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

357 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.	45,790	$170	$7.8M
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.	28,800	$220	$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.	38,760	$90	$3.4M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	82,220	$30	$2.2M
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.	3,970	$530	$2.1M
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…	38,150	$40	$1.4M
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.	5,900	$190	$1.1M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,800	$230	$1.1M
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.	18,390	$50	$974.5K
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…	28,420	$30	$937.7K

Showing 1–10 of 357

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

Southwest Louisiana Hospital Association Inc — 11 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

357 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.	51	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.	43	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.	39	270	11,250	$90	$1.8M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	35	70	620	$230	$913.4K
J9271	Injection, pembrolizumab, 1 mg	4	10	160	$3,820	$862.6K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	37	60	1,160	$280	$690.6K
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…	15	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.	19	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	9	30	160	$520	$413.4K
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…	15	90	650	$40	$404.2K

Showing 1–10 of 357

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Thompson	LA	Cardiovascular Disease Physician	$332.5K	$0
Edward Bergen	LA	Interventional Cardiology Physician	$304.6K	$0
Albert Hammett	LA	Cardiovascular Disease Physician	$225.1K	$0
Kevin Young	LA	Cardiovascular Disease Physician	$173.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swla Center For Health Services	LA	Federally Qualified Health Center (FQHC)	$0	$33.2M
Children's Clinic Of Southwest Louisiana, Inc.	LA	Pediatrics Physician	$0	$24M
Heaven-on-earth Network, Inc.	LA	Personal Care Attendant	$0	$20.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$16.8M
The Pathology Laboratory, Inc.	LA	Clinical Medical Laboratory	$1.6M	$13.7M
All About You Home Healthcare Inc	LA	In Home Supportive Care Agency	$0	$11.3M
Professional Emergency Medicine Management -- Lake Charles LLC	LA	Emergency Medicine Physician	$0	$10.8M
Compassionate Covenant Adult Day Health Care Inc.	LA	Adult Day Care Clinic/Center	$0	$10.6M
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$10.2M
Sound Physicians Emergency Medicine Of Louisiana Inc	LA	Emergency Medicine Physician	$0	$9M

Southwest Louisiana Hospital Association Inc — 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