Physician
Apellaniz, Luis
Apellaniz, Luis was paid $923K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoAPELLANIZ, LUIS
JENNINGS, LA 70546
JENNINGS, LA 70546
33aNPI1134110711assigned 11/02/2005
33bProvider typePediatrics Physician
28Total paid$923K
24GClaims32,341
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#85 of 230
Median peer was paid$429K
This provider vs. median2.2×
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 | 3,143 | $106K | |
| 2019 | 4,420 | $129K | |
| 2020 | 1,990 | $51K | |
| 2021 | 2,132 | $59K | |
| 2022 | 3,985 | $126K | |
| 2023 | 8,229 | $235K | |
| 2024incomplete | 8,442 | $217K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 7,038 | 6,083 | $460K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 4,132 | 3,837 | $186K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 1,067 | 1,035 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 781 | 736 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 745 | 724 | $48K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 2,691 | 2,524 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 1,255 | 1,171 | $18K |
| 92551 | 1.9% | 2,385 | 2,258 | $18K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 227 | 209 | $13K |
| 96127 | <1% | 4,627 | 3,957 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,003 | 881 | $6K |
| 99173 | <1% | 2,653 | 2,516 | $5K |
21 more codes
| 96160 | <1% | 1,275 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 194 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 539 | $1K |
| 90474 | <1% | 27 | $228.25 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $183.82 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 25 | $124.16 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 383 | $5.80 |
| 90633 | 0% | 106 | $0.00 | |
| 90649 | 0% | 63 | $0.00 | |
| 90648 | 0% | 15 | $0.00 | |
| 90670 | 0% | 174 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 90671 | 0% | 45 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90621 | 0% | 16 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90686 | 0% | 331 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| 90674 | 0% | 356 | $0.00 | |
| 90698 | 0% | 48 | $0.00 | |
| 90619 | 0% | 46 | $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.