Clinic
Plaquemines Primary Care, INC.
Plaquemines Primary Care, INC. was paid $1.45M by Medicaid between Apr 2019 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoPLAQUEMINES PRIMARY CARE, INC.
PORT SULPHUR, LA 70083
PORT SULPHUR, LA 70083
33aNPI1407171721assigned 03/30/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$1.45M
24GClaims78,709
24DCodes billed50
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#18 of 92
Median peer was paid$157K
This provider vs. median9.2×
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 | 7,554 | $15K | |
| 2020 | 13,249 | $104K | |
| 2021 | 11,941 | $295K | |
| 2022 | 16,350 | $353K | |
| 2023 | 20,487 | $383K | |
| 2024incomplete | 9,128 | $302K |
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 | 87% | 11,592 | 7,697 | $1.27M |
| H2020 | Therapeutic behavioral services, per diem | 11% | 2,418 | 1,090 | $162K |
| 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% | 6,381 | 4,620 | $6K |
| 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% | 1,908 | 1,171 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 256 | 194 | $2K |
| 0001A | <1% | 225 | 58 | $1K | |
| 0002A | <1% | 144 | 43 | $1K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,055 | 993 | $1K |
| 0012A | <1% | 138 | 52 | $893.46 | |
| 0011A | <1% | 126 | 47 | $846.80 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 60 | 55 | $650.18 |
| 0013A | <1% | 75 | 24 | $605.90 |
38 more codes
| 3074F | <1% | 4,166 | $145.00 | |
| 3078F | <1% | 3,444 | $145.00 | |
| 3079F | <1% | 2,926 | $120.00 | |
| 3077F | <1% | 1,782 | $105.00 | |
| 3080F | <1% | 788 | $60.00 | |
| 3075F | <1% | 1,197 | $55.00 | |
| 2000F | 0% | 2,368 | $0.00 | |
| 3008F | 0% | 4,036 | $0.00 | |
| 1125F | 0% | 2,572 | $0.00 | |
| 1220F | 0% | 3,198 | $0.00 | |
| 1101F | 0% | 2,431 | $0.00 | |
| 99000 | 0% | 83 | $0.00 | |
| 1036F | 0% | 3,483 | $0.00 | |
| 1126F | 0% | 3,796 | $0.00 | |
| 1034F | 0% | 143 | $0.00 | |
| 87428 | 0% | 28 | $0.00 | |
| 2010F | 0% | 510 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 360 | $0.00 |
| 91301 | 0% | 484 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 133 | $0.00 |
| 1170F | 0% | 99 | $0.00 | |
| 90686 | 0% | 89 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 190 | $0.00 |
| 82962 | 0% | 110 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 22 | $0.00 |
| 00000 | 0% | 27 | $0.00 | |
| 3725F | 0% | 903 | $0.00 | |
| 1032F | 0% | 69 | $0.00 | |
| 1159F | 0% | 5,967 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,889 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 34 | $0.00 |
| 1160F | 0% | 5,227 | $0.00 | |
| 91300 | 0% | 336 | $0.00 | |
| 3016F | 0% | 84 | $0.00 | |
| 4004F | 0% | 183 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 19 | $0.00 |
| 3288F | 0% | 141 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $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 officialPREST, LESLIE (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Hospital Service District No. 1 of Plaquemines Parish | Port Sulphur, LA | $1.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.