Physician
Physician Practice Partners
Physician Practice Partners was paid $7.38M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.
33Billing provider infoPHYSICIAN PRACTICE PARTNERS
HOUMA, LA 70360
HOUMA, LA 70360
33aNPI1326598434assigned 10/12/2016
33bProvider typePediatrics Physician
28Total paid$7.38M
24GClaims208,352
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#18 of 230
Median peer was paid$429K
This provider vs. median17×
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 | 13,218 | $179K | |
| 2019 | 30,363 | $1.05M | |
| 2020 | 32,829 | $1.28M | |
| 2021 | 29,254 | $1.24M | |
| 2022 | 26,697 | $1.09M | |
| 2023 | 40,287 | $1.36M | |
| 2024incomplete | 35,704 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 47% | 53,730 | 51,245 | $3.49M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 18% | 16,117 | 15,175 | $1.32M |
| 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 | 9.1% | 23,480 | 21,151 | $672K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.9% | 18,390 | 17,719 | $657K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 7,212 | 4,058 | $179K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 6,003 | 5,351 | $157K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.0% | 35,052 | 29,511 | $145K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.8% | 1,724 | 945 | $131K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 2,355 | 2,195 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 1,638 | 1,363 | $99K |
| 99460 | <1% | 1,943 | 1,848 | $72K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,967 | 1,908 | $47K |
58 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,947 | $37K |
| 99462 | <1% | 1,347 | $31K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 410 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,991 | $25K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 842 | $20K |
| 99223 | Prolong inpt eval add15 m | <1% | 325 | $17K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 62 | $16K |
| 99220 | <1% | 400 | $14K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,760 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,158 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,304 | $9K |
| 99490 | Ccm add 20min | <1% | 3,191 | $8K |
| 95886 | <1% | 262 | $7K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 100 | $7K |
| 99310 | Prolong nursin fac eval 15m | <1% | 745 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 71 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 197 | $4K |
| 90674 | <1% | 543 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 146 | $4K |
| 87634 | <1% | 53 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 748 | $2K |
| 90474 | <1% | 343 | $2K | |
| 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% | 251 | $2K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 136 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 56 | $1K |
| 90756 | <1% | 107 | $1K | |
| 99307 | <1% | 257 | $926.39 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17 | $495.52 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 44 | $430.00 |
| 99219 | <1% | 13 | $361.00 | |
| 99443 | <1% | 236 | $356.87 | |
| 94664 | <1% | 145 | $221.12 | |
| 96161 | <1% | 31 | $219.78 | |
| 99496 | <1% | 14 | $127.12 | |
| 83655 | <1% | 13 | $105.93 | |
| 95251 | <1% | 15 | $88.82 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $87.63 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 186 | $75.00 |
| 99439 | <1% | 80 | $49.86 | |
| 96160 | <1% | 131 | $42.89 | |
| 1159F | <1% | 6,604 | $5.54 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $1.04 |
| 90671 | <1% | 187 | $0.30 | |
| 3044F | 0% | 591 | $0.00 | |
| 3008F | 0% | 3,358 | $0.00 | |
| 3074F | 0% | 909 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 446 | $0.00 |
| 3079F | 0% | 219 | $0.00 | |
| 90677 | 0% | 185 | $0.00 | |
| 90680 | 0% | 330 | $0.00 | |
| 90694 | 0% | 53 | $0.00 | |
| 4010F | 0% | 132 | $0.00 | |
| 3066F | 0% | 13 | $0.00 | |
| 90697 | 0% | 24 | $0.00 | |
| 1160F | 0% | 2,934 | $0.00 | |
| 3078F | 0% | 783 | $0.00 | |
| 90670 | 0% | 257 | $0.00 | |
| 90653 | 0% | 12 | $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 officialLEONARD, CORY (VP - FINANCIAL SERVICES)