Physician
Agena, Gary
Agena, Gary was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoAGENA, GARY
MADISONVILLE, LA 70447
MADISONVILLE, LA 70447
33aNPI1295768406assigned 07/09/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.13M
24GClaims28,963
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Louisiana
Rank by total paid#23 of 126
Median peer was paid$155K
This provider vs. median7.3×
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 | 2,826 | $130K | |
| 2019 | 810 | $31K | |
| 2020 | 2,763 | $128K | |
| 2021 | 2,906 | $136K | |
| 2022 | 3,315 | $122K | |
| 2023 | 9,460 | $298K | |
| 2024incomplete | 6,883 | $283K |
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 | 57% | 17,779 | 9,445 | $646K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.5% | 1,335 | 1,142 | $74K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.4% | 1,379 | 1,099 | $72K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.1% | 119 | 95 | $57K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.4% | 661 | 553 | $49K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.8% | 615 | 562 | $43K |
| 59430 | 3.3% | 472 | 395 | $37K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.9% | 601 | 224 | $33K |
| 0502F | 2.3% | 2,287 | 617 | $26K | |
| 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 | 1.2% | 218 | 180 | $14K |
| 76801 | 1.1% | 219 | 145 | $12K | |
| 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 | 1.0% | 151 | 119 | $11K |
17 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 169 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 165 | $9K |
| 59514 | <1% | 21 | $8K | |
| 76830 | Ultrasound, transvaginal | <1% | 110 | $7K |
| 81025 | <1% | 885 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 275 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 189 | $2K |
| 87210 | <1% | 920 | $2K | |
| 54150 | <1% | 16 | $2K | |
| 99385 | <1% | 16 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 36 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 17 | $949.39 |
| 90656 | <1% | 46 | $865.98 | |
| 81003 | <1% | 197 | $136.71 | |
| 0503F | <1% | 35 | $125.00 | |
| 81000 | <1% | 15 | $31.60 | |
| 81002 | 0% | 15 | $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.