Clinic
KP Medical LLC
KP Medical LLC was paid $73K by Medicaid between Mar 2021 and Aug 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoKP MEDICAL LLC
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
33aNPI1407315617assigned 03/18/2019
33bProvider typeClinic/Center
28Total paid$73K
24GClaims2,711
24DCodes billed8
24AFirst – last monthMar 2021 – Aug 2023
Compared with peers
Next to other Clinic/Center providers in Louisiana
Rank by total paid#71 of 112
Median peer was paid$138K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 715 | $18K | |
| 2022 | 1,325 | $34K | |
| 2023 | 671 | $20K |
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 | 66% | 1,638 | 1,415 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 232 | 212 | $10K |
| 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 | 12% | 186 | 178 | $8K |
| 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 | 6.3% | 61 | 60 | $5K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 550 | 514 | $870.19 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 13 | $725.90 |
| 99173 | <1% | 15 | 12 | $8.26 | |
| 99000 | 0% | 16 | 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 officialSYLVESTER, TONIA (CLINIC MANAGER)
| Provider | Location | Paid |
|---|---|---|
| LSMD Medical LLC | Youngsville, LA | $108K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.