Clinic
Phca Houma LLC
Phca Houma LLC was paid $51K by Medicaid between Mar 2021 and Aug 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPHCA HOUMA LLC
HOUMA, LA 70360
HOUMA, LA 70360
33aNPI1356973077assigned 02/11/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$51K
24GClaims1,750
24DCodes billed7
24AFirst – last monthMar 2021 – Aug 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#66 of 92
Median peer was paid$157K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 565 | $22K | |
| 2022 | 847 | $21K | |
| 2023 | 338 | $8K |
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 | 49% | 928 | 755 | $25K |
| 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 | 31% | 364 | 291 | $16K |
| 99205 | Prolong outpt/office vis | 15% | 96 | 77 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 27 | 26 | $1K |
| 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 | 1.8% | 14 | 14 | $927.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 309 | 284 | $460.96 |
| 99490 | Ccm add 20min | 0% | 12 | 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 officialWILIAMS, WAYNE (CFO)