Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAIN STREET PHYSICIAN SERVICES LLC

NPI: 1396150785 · NEW IBERIA, LA 70560 · Physical Medicine & Rehabilitation Physician · NPI assigned 06/25/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALK, LISHA controls 20+ related entities in our dataset. Read more

$842K
Total Medicaid Paid
31,779
Total Claims
19,151
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFALK, LISHA (VP OF CONTRACTING)
NPI Enumeration Date06/25/2014

Related Entities

Other providers sharing the same authorized official: FALK, LISHA

ProviderCityStateTotal Paid
BELLE CHASSE EMERGENCY GROUP LLC NEW ORLEANS LA $20.02M
SOUTHERN MEDICAL PARTNERS, LLC HAZARD KY $15.59M
FOUCHER EMERGENCY GROUP LLC NEW ORLEANS LA $15.03M
KENNER EMERGENCY GROUP LLC KENNER LA $12.10M
INDEPENDENCE EMERGENCY GROUP LLC METAIRIE LA $11.45M
CONGRESS EMERGENCY GROUP LLC LAFAYETTE LA $11.41M
COOLIDGE EMERGENCY GROUP LLC LAFAYETTE LA $11.05M
RED STICK EMERGENCY GROUP LLC BATON ROUGE LA $10.27M
MAIN STREET EMERGENCY GROUP LLC NEW IBERIA LA $9.31M
UNITED EMERGENCY SERVICES OF MISSISSIPPI COLUMBUS MS $7.79M
CALCASIEU EMERGENCY GROUP LLC LAKE CHARLES LA $7.42M
ED PHYSICIANS OF WEST LOUISIANA, LLC WEST MONROE LA $7.33M
ST MARY EMERGENCY GROUP LLC MORGAN CITY LA $6.46M
BECKLEY EMERGENCY PHYSICIANS LLC BECKLEY WV $6.13M
UNITED EMERGENCY SERVICES, INC. BOONEVILLE MS $5.78M
WILLIAMSON EMERGENCY PHYSICIANS LLC SOUTH WILLIAMSON KY $5.21M
AMBASSADOR EMERGENCY GROUP LLC LAFAYETTE LA $4.98M
ST. JOHN EMERGENCY GROUP LLC LA PLACE LA $4.97M
DUVAL EMERGENCY GROUP LLC NORTH MIAMI BEACH FL $4.92M
WEBSTER EMERGENCY GROUP LLC MINDEN LA $4.72M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,774 $99K
2019 4,066 $122K
2020 4,805 $146K
2021 4,393 $119K
2022 2,977 $92K
2023 7,258 $166K
2024 4,506 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 13,484 5,448 $396K
99223 Prolong inpt eval add15 m 2,981 2,560 $158K
99239 Hospital discharge day management, more than 30 minutes 4,686 4,257 $140K
99232 Subsequent hospital care, per day, moderate complexity 3,728 1,824 $75K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,163 453 $70K
99220 33 26 $1K
99238 Hospital discharge day management, 30 minutes or less 47 43 $962.85
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 1,913 1,606 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 1,027 822 $0.00
1123F 587 530 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,130 1,582 $0.00