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.

Lsuhn Billing LLC (NPI 1992975775)

Key Findings

Field	Value
Entity Type	Organization
Organization	Lsuhn Billing LLC
Address	2390 W Congress St
City	Lafayette
State	LA
ZIP	70506
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	March 7, 2008

Payer Source	Total Paid
Medicaid	$45.7M
Medicare	$0

LSUHN BILLING LLC is effectively a Medicaid-focused billing entity with Total Medicaid revenue of $45.7M and no Medicare billing on file. The absence of Medicare activity makes the provider functionally single-payer in the available claims universe, so Medicaid performance drives its observable financial and operational profile.

Revenue is highly concentrated in a small set of evaluation-and-management and critical care codes: the top three Medicaid codes account for 59.0% of the provider's total Medicaid revenue, led by 99214 ($13.1M, 31.1%), followed by 99213 ($9.1M, 21.6%), and 99291 ($2.6M, 6.3%). This concentration indicates that a majority of Medicaid dollars are captured through established-office visits and critical care services.

The code mix points to a large multispecialty operation that combines high-volume ambulatory care with inpatient and critical care capabilities. Extremely large counts for office E/M codes (99214: 172.5K claims; 99213: 178K claims) alongside substantial critical care (99291: 20.2K claims) and inpatient follow-up codes (99233, 99232) suggest the organization delivers both routine outpatient visits and significant hospital-based care.

LSUHN shows dominant in-state standing for its highest-volume services: 99214 ranks #9 of 2894 providers in-state (100th percentile; extreme outlier) and 99213 ranks #14 of 3226 providers in-state (100th percentile; extreme outlier), while 99291 ranks #2 of 145 providers in-state (99th percentile; extreme outlier). These rankings imply the provider is a major statewide participant for high-complexity E/M and critical-care billing compared with peers.

Operational scale is evident from the very large claim volumes for individual codes, which are atypical for most in-state providers. Examples include 172.5K claims for 99214, 178K claims for 99213, and 66.7K claims for 93010; such volumes are consistent with a centralized system or large group practice handling high patient throughput on the Medicaid line.

The provider’s service breadth extends beyond general E/M into procedural specialties and inpatient care, indicating diversified revenue streams within Medicaid. Notable procedural and specialty codes include 31575 (5.1K claims, $382.8K revenue) where LSUHN ranks #1 of 38 providers in-state (100th percentile; extreme outlier), GI endoscopy codes 43239 and 43235 (ranks and revenues reported above), ophthalmology codes 92014/92012 with high ranks, and obstetric delivery 59409 (1.2K claims, $893.8K revenue).

Certain mid-volume hospital care codes also sit well above typical state volumes, reinforcing substantial inpatient activity: 99233 (40.7K claims, $2.5M; ranks #8 of 466, 98th percentile; extreme outlier) and 99232 (44.6K claims, $1.9M; ranks #18 of 753, 98th percentile; notably above typical state volume). These patterns point to consistent inpatient follow-up and critical-care workflows in addition to outpatient visits.

The provider has established tenure in the NPI system, enumerated on 2008-03-07 (~18 years ago), which aligns with the sustained, high-volume Medicaid presence observed. Long-standing enrollment combined with concentrated Medicaid revenue and extreme outlier rankings suggests an entrenched regional role in delivering both ambulatory and hospital-based services to Medicaid beneficiaries.

Medicaid: Complete Services Breakdown

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

209 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…	172,500	$80	$13.1M
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…	178,040	$50	$9.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20,150	$130	$2.6M
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…	40,750	$60	$2.5M
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…	19,070	$120	$2.3M
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…	44,570	$40	$1.9M
99203	The provider sees a new 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 provider…	23,870	$70	$1.8M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	11,590	$100	$1.2M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1,230	$730	$893.8K
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…	13,590	$50	$692.9K

Showing 1–10 of 209

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

Lsuhn Billing LLC — 15 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

209 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	13	90	1,270	$50	$375.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	23	50	590	$110	$249.9K
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…	9	2,890	980	$40	$246.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	7	80	120	$610	$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…	11	190	660	$70	$234.9K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	8	30	1,080	$70	$229.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2	150	340	$120	$204.6K
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…	14	3,230	1,120	$30	$204.3K
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.	36	160	380	$170	$194.7K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	37	110	560	$50	$173.1K

Showing 1–10 of 209

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana State University School Of Medicine In New Orleans Faculty G	LA	Multi-Specialty Clinic/Center	$0	$67.9M
University Hospital & Clinics, Inc.	LA	General Acute Care Hospital	$0	$60.9M
Louisiana State University School Of Med In New Orleans Faculty Grou	LA	Pediatrics Physician	$0	$43M
Administrators Of The Tulane Educational Fund	LA	Specialist	$0	$24.6M
University Hospital & Clinics, Inc.	LA	Anesthesiology Physician	$0	$12.1M
Acme Medical Supplies, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$5.3M
Laura Kaiser	LA	Adult Health Clinical Nurse Specialist	$5.1M	$0
Amar Patel	TX	Ophthalmology Physician	$3.8M	$0
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Jennifer Malin	LA	Rheumatology Physician	$1.7M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Complete Home Health, Inc.	LA	Home Health Agency	$0	$57.4M
Share Care Usa	LA	Developmentally Disabled Services Day Training Agency	$0	$27.4M
Alternative Home Care Specialists, Inc.	LA	Personal Care Attendant	$0	$21.9M
Eckerd Youth Alternatives , Inc. Dba Eckerd Connects	LA	Case Management Agency	$0	$17.7M
Cadence Of Acadiana, Inc.	LA	Case Management Agency	$0	$14.1M
Lafayette Association For Retarded Citizens, Inc.	LA	Respite Care	$0	$12.4M
Aa Angel Care Inc	LA	Early Intervention Provider Agency	$0	$11.8M
Congress Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.4M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$6.7M
Lafayette Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$6.6M

Lsuhn Billing 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