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.

Capital Area Human Services District (NPI 1982768644)

Capital Area Human Services District is a adolescent and children mental health clinic/center provider located in Baton Rouge, Louisiana. This profile covers 0 Medicare and 16 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	Capital Area Human Services District
Address	422 Colonial Dr
City	Baton Rouge
State	LA
ZIP	70806
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	97,240	$30	$3.3M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	14,370	$50	$646.8K
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…	11,480	$50	$562.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,590	$70	$171K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,690	$30	$96K
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…	1,150	$70	$82.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	800	$90	$71.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	730	$30	$22.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,110	$10	$13.3K
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…	360	$40	$13.2K

Showing 1–10 of 16

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

Capital Area Human Services District — 2 of 15 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	9	460	5,030	$80	$1M
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…	300	2,890	980	$40	$246.8K
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…	2,134	3,230	1,120	$30	$204.3K
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…	122	700	180	$60	$77K
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,…	1,143	1,460	440	$20	$64K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	667	910	440	$40	$61.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	95	390	180	$50	$49.5K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	2	80	160	$40	$39.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	155	460	310	$20	$26.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	760	170	$40	$25.6K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Area Human Services District	LA	Substance Abuse Rehabilitation Facility	$0	$6M
Anthony Monteleone	LA	Clinical Social Worker	$4.5K	$0
Ashley Bailey	LA	Clinical Social Worker	$4.3K	$0
Thomas Cannon	LA	Clinical Social Worker	$4.2K	$0
Gregory Quartano	LA	Clinical Social Worker	$2K	$0
Lori Richard	LA	Clinical Social Worker	$890	$0
Ricky Falcon	LA	Social Worker	$180	$0
Adrianne Rivera	LA	Clinical Social Worker	$160	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Services Of Louisiana, L.L.C.	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$41.1M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$23.8M
Capitol City Family Health Center Incorporated	LA	Federally Qualified Health Center (FQHC)	$0	$21.6M
P & L Medical Service	LA	Home Health Agency	$0	$16.5M
Independent Living Inc	LA	Home Health Agency	$0	$15.3M
Association For Retarded Citizens Baton Rouge	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.5M
Louisiana Health & Rehabilitation Coptions	LA	Intellectual & Developmental Disabilities Psychologist	$0	$13.6M
Hiv-aids Alliance For Region Two	LA	Federally Qualified Health Center (FQHC)	$0	$12.7M
One Life Health Care, LLC	LA	Community Based Hospice Care Agency	$0	$12.1M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M

Capital Area Human Services District — Billing Profile & Reimbursement Data

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Capital Area Human Services District — 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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