Clinic
The Magnolia Clinic
The Magnolia Clinic was paid $1.20M by Medicaid between Jan 2018 and Jun 2023, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoTHE MAGNOLIA CLINIC
SULPHUR, LA 70663
SULPHUR, LA 70663
33aNPI1366568800assigned 03/22/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.20M
24GClaims37,664
24DCodes billed40
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#20 of 92
Median peer was paid$157K
This provider vs. median7.6×
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 | 10,583 | $333K | |
| 2019 | 10,518 | $319K | |
| 2020 | 4,342 | $136K | |
| 2021 | 4,539 | $166K | |
| 2022 | 4,978 | $163K | |
| 2023 | 2,704 | $77K |
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 | 38% | 13,023 | 10,665 | $456K |
| 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 | 23% | 5,221 | 4,661 | $269K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.3% | 1,543 | 1,473 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 1,550 | 1,433 | $98K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 1,284 | 1,191 | $83K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 595 | 564 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 2,300 | 2,196 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 515 | 483 | $29K |
| 92551 | 2.0% | 3,106 | 3,001 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 758 | 726 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 1,128 | 1,079 | $15K |
| 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% | 98 | 96 | $7K |
28 more codes
| 99173 | <1% | 3,466 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 577 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 61 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 57 | $3K |
| 90473 | <1% | 145 | $1K | |
| 90474 | <1% | 150 | $1K | |
| 99401 | <1% | 60 | $836.34 | |
| 83026 | <1% | 125 | $185.68 | |
| 81002 | <1% | 96 | $182.70 | |
| 90686 | <1% | 179 | $114.18 | |
| 97802 | <1% | 15 | $57.81 | |
| 90685 | 0% | 46 | $0.00 | |
| 90633 | 0% | 389 | $0.00 | |
| 90734 | 0% | 104 | $0.00 | |
| 90670 | 0% | 348 | $0.00 | |
| 90672 | 0% | 147 | $0.00 | |
| 90710 | 0% | 65 | $0.00 | |
| 90649 | 0% | 75 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90716 | 0% | 27 | $0.00 | |
| 90651 | 0% | 124 | $0.00 | |
| 90744 | 0% | 16 | $0.00 | |
| 90680 | 0% | 41 | $0.00 | |
| 90698 | 0% | 124 | $0.00 | |
| 90697 | 0% | 33 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 90660 | 0% | 33 | $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 officialDUHON, SUSAN (NURSE PRACTITIONER)