Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Opelousas General Health System Physician Practices

Opelousas General Health System Physician Practices was paid $3.78M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoOPELOUSAS GENERAL HEALTH SYSTEM PHYSICIAN PRACTICES
OPELOUSAS, LA 70570
33aNPI1295098747assigned 06/20/2012
33bProvider typeAnesthesiology Physician
28Total paid$3.78M
24GClaims181,649
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Louisiana

Rank by total paid#5 of 47
Median peer was paid$86K
This provider vs. median44×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201813,200$322K
201923,772$437K
202023,161$487K
202129,250$702K
202227,830$764K
202325,956$582K
2024incomplete38,480$492K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 41% 48,047 41,758 $1.54M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 28,573 24,624 $638K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 8.2% 4,544 1,136 $309K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.7% 7,169 6,524 $292K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.1% 5,291 4,434 $231K
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 3.8% 2,792 2,504 $143K
99205 Prolong outpt/office vis 3.1% 1,701 1,458 $115K
99222 Initial hospital care, per day, moderate complexity 3.0% 2,586 2,275 $115K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.3% 1,866 791 $48K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.0% 4,250 3,813 $39K
64615 1.0% 595 560 $38K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 2,159 792 $31K
129 more codes
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 108 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,152 $28K
95813 <1% 454 $20K
90792 Psychiatric diagnostic evaluation with medical services <1% 478 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,334 $19K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 103 $6K
47562 <1% 25 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 270 $6K
94060 <1% 637 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 636 $5K
99223 Prolong inpt eval add15 m <1% 104 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 28 $5K
94726 <1% 513 $4K
94729 <1% 515 $4K
95886 <1% 134 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 362 $4K
90756 <1% 278 $4K
99292 <1% 136 $4K
90686 <1% 414 $4K
36415 Collection of venous blood by venipuncture <1% 3,487 $3K
95812 <1% 77 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 29 $3K
95720 <1% 44 $3K
90832 Psychotherapy session, about 30 minutes <1% 185 $3K
95819 <1% 71 $3K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,110 $3K
73110 <1% 189 $3K
20610 <1% 248 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 105 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 536 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $2K
73564 <1% 139 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 38 $2K
90935 Hemodialysis procedure with single evaluation by a physician <1% 170 $2K
95911 <1% 15 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 228 $1K
82962 <1% 996 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 544 $1K
72100 <1% 188 $1K
G0509 Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth <1% 80 $1K
99460 <1% 52 $1K
59514 <1% 16 $1K
90785 <1% 1,095 $989.90
80305 <1% 154 $982.04
73100 <1% 71 $959.19
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth <1% 83 $946.50
81002 <1% 629 $877.94
81025 <1% 190 $850.09
95913 <1% 14 $841.15
00812 <1% 13 $797.96
99442 <1% 75 $677.84
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 28 $633.05
73140 <1% 44 $603.69
73130 <1% 41 $599.27
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% 54 $583.75
99449 <1% 78 $576.67
99239 Hospital discharge day management, more than 30 minutes <1% 14 $426.72
73560 <1% 55 $416.29
93000 <1% 55 $367.53
99462 <1% 14 $349.72
80061 Lipid panel <1% 71 $341.83
71046 Radiologic examination, chest; 2 views <1% 37 $328.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 559 $322.25
99441 <1% 69 $295.82
0001A <1% 12 $270.05
94618 <1% 14 $221.85
73630 <1% 14 $215.60
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 15 $210.04
87807 <1% 20 $178.16
J0585 Injection, onabotulinumtoxina, 1 unit <1% 33 $176.64
99459 <1% 20 $161.92
73030 <1% 13 $159.88
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth <1% 13 $135.70
36410 <1% 42 $131.23
72040 <1% 13 $103.27
3044F <1% 194 $90.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 20 $78.86
96127 <1% 44 $78.80
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 29 $48.47
99000 <1% 1,137 $17.50
97802 <1% 63 $16.06
81000 <1% 29 $7.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12 $7.23
36416 <1% 304 $2.02
99024 0% 3,143 $0.00
3074F 0% 2,452 $0.00
3079F 0% 949 $0.00
3008F 0% 8,152 $0.00
1126F 0% 2,385 $0.00
3014F 0% 32 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 73 $0.00
1170F 0% 2,772 $0.00
1125F 0% 2,306 $0.00
1036F 0% 2,541 $0.00
1031F 0% 74 $0.00
1030F 0% 503 $0.00
G0008 Administration of influenza virus vaccine 0% 100 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 29 $0.00
3075F 0% 442 $0.00
3017F 0% 158 $0.00
H0001 Alcohol and/or drug assessment 0% 350 $0.00
4000F 0% 135 $0.00
3080F 0% 150 $0.00
1022F 0% 13 $0.00
1111F 0% 16 $0.00
1000F 0% 220 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 51 $0.00
1034F 0% 124 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 13 $0.00
99406 0% 24 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 12 $0.00
1160F 0% 7,163 $0.00
4004F 0% 131 $0.00
3016F 0% 27 $0.00
3725F 0% 2,181 $0.00
1159F 0% 6,596 $0.00
3078F 0% 2,137 $0.00
3288F 0% 691 $0.00
1100F 0% 330 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 439 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 789 $0.00
3077F 0% 308 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 17 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 59 $0.00
4013F 0% 103 $0.00
T1015 A visit at a community health center or clinic (one all-in rate) 0% 65 $0.00
91300 0% 20 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 56 $0.00
90655 0% 20 $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 officialJUNEAU, JIM (CFO)