Physician
Phoenix Medical Healthcare Center, INC
Phoenix Medical Healthcare Center, INC was paid $473K by Medicaid between Aug 2021 and Dec 2024, across 13 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 60% of everything it billed.
33Billing provider infoPHOENIX MEDICAL HEALTHCARE CENTER, INC
MORGAN CITY, LA 70380
MORGAN CITY, LA 70380
33aNPI1003420217assigned 09/04/2020
33bProvider typeObstetrics & Gynecology Physician
28Total paid$473K
24GClaims10,950
24DCodes billed13
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Louisiana
Rank by total paid#41 of 126
Median peer was paid$155K
This provider vs. median3.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 414 | $7K | |
| 2022 | 2,656 | $90K | |
| 2023 | 4,828 | $234K | |
| 2024incomplete | 3,052 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 60% | 4,284 | 3,270 | $284K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 2,045 | 1,504 | $96K |
| 99205 | Prolong outpt/office vis | 8.9% | 574 | 445 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 632 | 486 | $19K |
| 90836 | 1.5% | 261 | 210 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 102 | 81 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 68 | 61 | $5K |
| 81025 | 1.0% | 1,136 | 815 | $5K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 54 | 43 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 37 | 35 | $2K |
| 81002 | <1% | 1,327 | 769 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 60 | 51 | $995.96 |
1 more codes
| 81003 | <1% | 370 | $331.76 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialST MARTIN, NSIKAN (OWNER/PHYSICIAN)