Clinic
Pelican Medical, Wellness, and Cosmetic Center
Pelican Medical, Wellness, and Cosmetic Center was paid $148K by Medicaid between Dec 2019 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoPELICAN MEDICAL, WELLNESS, AND COSMETIC CENTER
GONZALES, LA 70737
GONZALES, LA 70737
33aNPI1356997399assigned 08/15/2019
33bProvider typePrimary Care Clinic/Center
28Total paid$148K
24GClaims7,007
24DCodes billed16
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#48 of 92
Median peer was paid$157K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2019 | 15 | $849.75 | |
| 2020 | 576 | $22K | |
| 2021 | 1,240 | $32K | |
| 2022 | 1,660 | $44K | |
| 2023 | 2,439 | $36K | |
| 2024incomplete | 1,077 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 3,733 | 2,322 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 863 | 623 | $21K |
| 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 | 2.2% | 78 | 59 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 87 | 66 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 124 | 99 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 896 | 694 | $1K |
| 81003 | <1% | 338 | 227 | $244.36 | |
| 96127 | <1% | 234 | 164 | $189.17 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | 14 | $41.50 |
| 94760 | <1% | 51 | 42 | $4.38 | |
| 3511F | 0% | 60 | 51 | $0.00 | |
| 4004F | 0% | 171 | 133 | $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 officialLEMOINE, SARAH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pelican Medical, Wellness, and Cosmetic Center | Gonzales, LA | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.