Our Lady of the Lake Hospital Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 106 procedure codes: 99283 at 4.2× median, 99284 at 3.8× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $177.86 per claim for 99283 (Emergency dept visit, moderate complexity) — 4.2× the national median of $42.48.
Bills $261.92 per claim for 99284 (Emergency dept visit, high complexity) — 3.8× the national median of $69.51.
Bills $280.37 per claim for 99285 (Emergency dept visit, high/urgent complexity) — 3.3× the national median of $85.65.
Billing in the top 1% nationally for 3 procedure codes: 74177, 74176, 20610.
This is a statistical summary, not an accusation. See our methodology.
Compared to General Acute Care Hospital Peers
Total spending distribution among 156 providers in this specialty
This provider's total spending of $205.7M is at the 50th percentile among 156 General Acute Care Hospital providers.
Total Paid
$205.7M
$205,685,425
Total Claims
3.8M
Beneficiaries
3.2M
1.2 claims/patient
Avg Cost/Claim
$54
#435 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Our Lady of the Lake Hospital Inc. is a General Acute Care Hospital provider based in Baton Rouge, LA. From the 2018–2024 period, this provider received $205.7M in Medicaid payments across 3.8M claims.
Why This Matters
This provider received $205.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 25,710 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 22% of total spending.
$45.9M
258K claims
$177.86
$42.48
Emergency dept visit, moderate complexity
$45.9M
258K claims · 22.3%
$37.4M
143K claims
$261.92
$69.51
Emergency dept visit, high complexity
$37.4M
143K claims · 18.2%
$19.6M
70K claims
$280.37
$85.65
Emergency dept visit, high/urgent complexity
$19.6M
70K claims · 9.5%
CT abdomen and pelvis with contrast
$7.6M
6K claims · 3.7%
Emergency dept visit, low complexity
$7.4M
57K claims · 3.6%
$7.3M
17K claims
$421.62
$99.39
Hospital observation service, per hour
$7.3M
17K claims · 3.6%
CT head/brain without contrast
$6.0M
18K claims · 2.9%
$5.8M
195K claims
$29.52
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$5.8M
195K claims · 2.8%
$5.0M
193K claims
$25.76
$25.06
Office/outpatient visit, low complexity
$5.0M
193K claims · 2.4%
$4.9M
106K claims
$45.55
$7.50
Electrocardiogram, tracing only, without interpretation
$4.9M
106K claims · 2.4%
$3.5M
71K claims
$48.67
$14.92
Therapeutic/prophylactic/diagnostic IV push, each additional substance
$3.5M
71K claims · 1.7%
$3.5M
77K claims
$44.83
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$3.5M
77K claims · 1.7%
$3.2M
107K claims
$30.33
$21.76
Therapeutic/prophylactic/diagnostic IV push, single substance
$3.2M
107K claims · 1.6%
Chest X-ray, single view
$2.8M
68K claims · 1.4%
$2.8M
108K claims
$25.99
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$2.8M
108K claims · 1.4%
$2.6M
74K claims
$35.71
$9.56
Therapeutic injection, subcutaneous/intramuscular
$2.6M
74K claims · 1.3%
$2.5M
103K claims
$24.63
$12.93
Office/outpatient visit, minimal complexity
$2.5M
103K claims · 1.2%
$2.4M
4K claims
$550.63
$763.43
Unlisted procedure, dentoalveolar structures
$2.4M
4K claims · 1.2%
Chest X-ray, 2 views
$2.1M
29K claims · 1.0%
$1.9M
13K claims
$149.02
$75.28
Chemotherapy administration, IV infusion, up to 1 hour
$1.9M
13K claims · 0.9%
Comprehensive metabolic panel
$1.9M
259K claims · 0.9%
$1.7M
1K claims
$1,124.41
$60.19
CT abdomen and pelvis without contrast
$1.7M
1K claims · 0.8%
$1.4M
34K claims
$41.32
$35.43
Drug test, presumptive, by chemistry analyzers
$1.4M
34K claims · 0.7%
Upper GI endoscopy with biopsy
$1.4M
5K claims · 0.7%
$1.3M
251K claims
$5.05
$4.71
Complete blood count (CBC) with differential, automated
$1.3M
251K claims · 0.6%
$1.3M
34K claims
$36.71
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$1.3M
34K claims · 0.6%
$1.2M
25K claims
$47.10
$38.92
IV infusion, hydration, each additional hour
$1.2M
25K claims · 0.6%
$945K
14K claims
$69.51
$63.08
Infectious disease detection (COVID-19)
$945K
14K claims · 0.5%
$779K
2K claims
$395.48
$29.03
Arthrocentesis, aspiration/injection, major joint
$779K
2K claims · 0.4%
$751K
57K claims
$13.14
$12.59
Influenza virus detection, rapid test
$751K
57K claims · 0.4%
Other Top Providers in Louisiana
View all →Acadian Ambulance Service Inc.
Ambulance Air Transport
$422.7M
Lsu Health Sciences Center Shreveport Faculty Group Practice
Oral & Maxillofacial Surgery
$235.7M
Physicians Group Laboratories, LLC
Clinical Medical Laboratory
$208.1M
Ochsner Clinic Foundation
General Acute Care Hospital
$167.0M
Ochsner Clinic LLC
Surgery
$152.5M
Similar Providers
Other top providers in General Acute Care Hospital