Clinic
Tiffany Roy FNP LLC
Tiffany Roy FNP LLC was paid $3.99M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoTIFFANY ROY FNP LLC
DUSON, LA 70529
DUSON, LA 70529
33aNPI1376986257assigned 04/10/2013
33bProvider typeRural Health Clinic/Center
28Total paid$3.99M
24GClaims96,780
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#48 of 160
Median peer was paid$2.26M
This provider vs. median1.8×
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 | 19,621 | $760K | |
| 2019 | 19,895 | $720K | |
| 2020 | 13,397 | $560K | |
| 2021 | 13,928 | $519K | |
| 2022 | 10,940 | $484K | |
| 2023 | 11,144 | $527K | |
| 2024incomplete | 7,855 | $420K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 45,190 | 34,582 | $3.97M |
| 99051 | <1% | 1,745 | 1,338 | $22K | |
| 0011A | <1% | 279 | 43 | $201.22 | |
| 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% | 25,293 | 20,202 | $87.83 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13,198 | 10,963 | $0.01 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 159 | 107 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 1,527 | 1,319 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,469 | 1,109 | $0.00 |
| 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 | 0% | 279 | 226 | $0.00 |
| 81025 | 0% | 1,099 | 906 | $0.00 | |
| 99173 | 0% | 1,287 | 1,053 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 971 | 717 | $0.00 |
15 more codes
| 81003 | 0% | 586 | $0.00 | |
| 1160F | 0% | 80 | $0.00 | |
| 3078F | 0% | 31 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 20 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 160 | $0.00 |
| 1159F | 0% | 65 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 16 | $0.00 |
| 92551 | 0% | 1,232 | $0.00 | |
| 90686 | 0% | 290 | $0.00 | |
| 91301 | 0% | 783 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 395 | $0.00 |
| 3079F | 0% | 12 | $0.00 | |
| 00000 | 0% | 197 | $0.00 | |
| 3074F | 0% | 66 | $0.00 | |
| 0012A | 0% | 351 | $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 officialROY, TIFFANY (OWNER/SOLE MEMBER)