NP / PA
J & a Legros Enterprises LLC
J & a Legros Enterprises LLC was paid $1.36M by Medicaid between Jan 2018 and Mar 2023, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoJ & A LEGROS ENTERPRISES LLC
CHURCH POINT, LA 70525
CHURCH POINT, LA 70525
33aNPI1235595778assigned 01/14/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$1.36M
24GClaims56,220
24DCodes billed32
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Louisiana
Rank by total paid#15 of 254
Median peer was paid$4K
This provider vs. median363×
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 | 11,124 | $240K | |
| 2019 | 12,906 | $276K | |
| 2020 | 9,589 | $246K | |
| 2021 | 9,909 | $259K | |
| 2022 | 10,169 | $265K | |
| 2023 | 2,523 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 26,007 | 22,764 | $697K |
| 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 | 28% | 9,890 | 8,937 | $384K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.4% | 1,460 | 1,408 | $73K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.0% | 1,161 | 1,085 | $54K |
| 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 | 3.6% | 763 | 720 | $49K |
| 99050 | 3.2% | 4,155 | 3,733 | $43K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 3,384 | 2,619 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 318 | 298 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,846 | 1,515 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 404 | 347 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 701 | 449 | $5K |
| 72100 | <1% | 159 | 154 | $3K |
20 more codes
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,004 | $2K |
| 99499 | <1% | 109 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 676 | $932.30 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,163 | $712.49 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 43 | $494.16 |
| 3044F | <1% | 567 | $410.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | $370.44 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,803 | $300.89 |
| 94060 | <1% | 13 | $268.83 | |
| 94016 | <1% | 13 | $124.74 | |
| 81002 | <1% | 41 | $58.88 | |
| 3051F | <1% | 15 | $10.00 | |
| 3074F | 0% | 173 | $0.00 | |
| 3079F | 0% | 48 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 54 | $0.00 |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 15 | $0.00 |
| 3075F | 0% | 15 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 36 | $0.00 |
| 3078F | 0% | 143 | $0.00 | |
| 3046F | 0% | 13 | $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 officialLEGROS, JIMMY (OWNER)