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.

Cardiovascular Institute Of The South, LLC (NPI 1982689113)

Key Findings

Field	Value
Entity Type	Organization
Organization	Cardiovascular Institute Of The South, LLC
Address	225 Dunn St
City	Houma
State	LA
ZIP	70360
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	December 9, 2005

Payer Source	Total Paid
Medicaid	$32.6M
Medicare	$0

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $32.6M, so all reported fee‑for‑service scale comes from Medicaid sources. Analysts should treat Medicaid as the dominant — in fact sole reported — payer when modeling this entity's revenue exposure or contracting leverage.

Revenue is highly concentrated: the top three Medicaid codes by revenue account for 60.4% of this provider's total Medicaid revenue. Those drivers are 99214 ($9M, 28.9%), 93306 ($7.9M, 25.5%), and 78452 ($1.9M, 6.1%), indicating a narrow set of services supplies the bulk of receipts.

The code mix indicates an imaging‑and‑outpatient E/M centric cardiology operation: high revenue and volumes for 93306 (echocardiography), 78452 (cardiac SPECT), and 99214 (established outpatient E/M) point to an ambulatory cardiovascular service line built around noninvasive diagnostic imaging and frequent office follow‑up. Supporting codes and supplies — J2785 (regadenoson), A9500 (technetium tc-99m sestamibi), and 93015/93017 (stress ECG services) — further reinforce a workflow optimized for stress/nuclear testing and echo throughput.

Competitive standing within the state is dominant for multiple diagnostic codes: 93306 ranks #1 of 193 providers (100th percentile; extreme outlier), 78452 ranks #1 of 74 providers (100th percentile; extreme outlier), and J2785 and A9500 similarly rank #1 in smaller peer sets (each listed as 100th percentile; extreme outlier). Even 99214 is an extreme outlier in the state, ranking #5 of 2894 providers (100th percentile), which together imply market leadership in cardiac diagnostics and high‑volume ambulatory cardiology.

Operational profile shows very high claim volumes on lower unit‑price items that still aggregate to meaningful revenue: for example 93000 appears with 194.1K claims at $7 avg paid/claim yielding $1.4M in revenue, and 99214 appears with 299.7K claims at $30 avg paid/claim yielding $9M. This pattern suggests throughput and patient flow efficiency are central to revenue generation rather than reliance on high‑margin, low‑frequency procedures.

The provider shows concentration and potential vulnerability to changes in reimbursement mix: because 60.4% of Medicaid revenue is tied to three codes, adjustments to payment, prior authorization, or utilization management for those services could materially affect overall revenue. That concentration is both a strength for negotiating operational efficiencies and a sensitivity for payer negotiations.

Tenure is long enough to indicate an established practice footprint: the NPI was enumerated 2005-12-09 (~21 years ago), supporting the interpretation that these utilization patterns reflect an enduring business model rather than a short‑term surge. Analysts should consider historical contracting and referral relationships in the region when assessing sustainability.

Multiple specific codes are labeled as statistical outliers in‑state, which corroborates the provider’s concentrated service dominance: besides 93306 and 78452 being extreme outliers, codes such as 93000, 93015, 93017, 93295, 93298, 93925, and 93922 are also listed at or near the 100th percentile (extreme outlier), while 99213 and 99233 are notably above typical state volume. This pattern indicates a consistent, above‑typical throughput across a range of noninvasive cardiac diagnostics and follow‑up E/M services.

Medicaid: Complete Services Breakdown

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

108 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…	299,700	$30	$9M
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…	93,520	$90	$7.9M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	13,480	$140	$1.9M
J2785	Injection, regadenoson, 0.1 mg	16,650	$110	$1.8M
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	12,520	$120	$1.5M
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…	70,480	$20	$1.4M
93000	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…	194,110	$10	$1.4M
99204	The provider sees a new 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 provider…	18,830	$70	$1.2M
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	9,320	$60	$587.2K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	6,190	$90	$575.7K

Showing 1–10 of 108

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

Cardiovascular Institute Of The South, LLC — 18 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

108 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.	255	270	9,980	$110	$2.6M
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	8	30	150	$520	$631.5K
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…	5	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…	1	190	660	$70	$234.9K
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…	63	3,230	1,120	$30	$204.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	28	470	560	$40	$157.3K
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…	149	750	760	$30	$135.9K
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.	33	270	3,140	$10	$111K
J2785	Injection, regadenoson, 0.1 mg	1	20	160	$100	$108.7K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	132	140	810	$30	$106.6K

Showing 1–10 of 108

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Ankur Lodha	LA	Interventional Cardiology Physician	$1.2M	$0
Wesley Bennett	MS	Interventional Cardiology Physician	$1.1M	$0
Thomas Plavac	MS	Cardiovascular Disease Physician	$1M	$0
Agostino Ingraldi	LA	Interventional Cardiology Physician	$981.3K	$0
Fernando Ruiz	LA	Interventional Cardiology Physician	$871.4K	$0
Siby Ayalloore	LA	Advanced Heart Failure and Transplant Cardiology Physician	$790.5K	$0
Bose Cheeran	LA	Interventional Cardiology Physician	$788.1K	$0
Robert Menuet	LA	Interventional Cardiology Physician	$780.7K	$0
Louis Salvaggio	LA	Interventional Cardiology Physician	$752.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Physicians Group Laboratories, LLC	LA	Clinical Medical Laboratory	$886.8K	$208.1M
Start Corporation	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.3M
Ascent Health, Inc	LA	Community/Behavioral Health Agency	$0	$16.3M
Terrebonne Parish Hospital Service District #1	LA	General Acute Care Hospital	$0	$16.1M
Start Corporation	LA	Federally Qualified Health Center (FQHC)	$0	$15.6M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$13M
Teche Action Board, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$11M
1st A Southeast Incs, LLC	LA	Point of Service	$0	$9.3M
Bayou Pediatric Associates, Apmc	LA	Pediatrics Physician	$0	$7.9M
Claudia Cavallino Dds, LLC	LA	Pediatric Dentistry	$0	$7.4M

Cardiovascular Institute Of The South, LLC — Billing Profile & Reimbursement Data

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Cardiovascular Institute Of The South, LLC — 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