Physician
HMG Physicians, LLC
HMG Physicians, LLC was paid $766K by Medicaid between Jan 2018 and May 2019, across 32 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 38% of everything it billed.
33Billing provider infoHMG PHYSICIANS, LLC
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
33aNPI1083958318assigned 11/27/2012
33bProvider typeFamily Medicine Physician
28Total paid$766K
24GClaims59,884
24DCodes billed32
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#64 of 417
Median peer was paid$63K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 59,866 | $765K | |
| 2019 | 18 | $731.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 38% | 14,397 | 4,955 | $291K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 23% | 25,045 | 14,749 | $173K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.9% | 2,731 | 1,295 | $76K |
| 99223 | Prolong inpt eval add15 m | 7.9% | 1,116 | 1,024 | $60K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.7% | 4,343 | 2,749 | $44K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 5.6% | 898 | 778 | $43K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.1% | 1,054 | 996 | $31K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.9% | 1,526 | 609 | $15K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 563 | 502 | $13K |
| 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 | <1% | 679 | 475 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 875 | 626 | $4K |
| 99306 | Prolong nursin fac eval 15m | <1% | 79 | 65 | $3K |
20 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 144 | $2K |
| 99220 | <1% | 12 | $708.75 | |
| 99307 | <1% | 153 | $616.02 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 57 | $586.36 |
| 99305 | <1% | 51 | $578.73 | |
| 99091 | <1% | 42 | $114.60 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 28 | $98.99 |
| 99487 | Ccm add 20min | <1% | 13 | $88.70 |
| 99217 | <1% | 13 | $41.40 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 16 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 422 | $0.00 |
| 1123F | 0% | 135 | $0.00 | |
| 99318 | 0% | 43 | $0.00 | |
| 99406 | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,079 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 2,404 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 456 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 223 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 255 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 19 | $0.00 |
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 officialBANDA, VENKAT (MANAGER)