Clinic
ST. Martin Hospital, INC.
ST. Martin Hospital, INC. was paid $1.23M by Medicaid between Jul 2021 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoST. MARTIN HOSPITAL, INC.
BREAUX BRIDGE, LA 70517
BREAUX BRIDGE, LA 70517
33aNPI1407414816assigned 05/31/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.23M
24GClaims59,512
24DCodes billed37
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#105 of 160
Median peer was paid$2.26M
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 | 4,936 | $92K | |
| 2022 | 16,101 | $173K | |
| 2023 | 20,702 | $500K | |
| 2024incomplete | 17,773 | $460K |
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 | 100% | 9,113 | 7,440 | $1.22M |
| 3044F | <1% | 2,421 | 1,894 | $300.00 | |
| 3074F | <1% | 5,939 | 4,425 | $285.00 | |
| 3078F | <1% | 5,200 | 3,875 | $230.00 | |
| 3079F | <1% | 2,503 | 1,953 | $170.00 | |
| 3075F | <1% | 1,318 | 1,014 | $110.00 | |
| 3077F | <1% | 345 | 237 | $45.00 | |
| 3080F | <1% | 14 | 12 | $20.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,490 | 1,165 | $0.00 |
| 1160F | 0% | 3,784 | 2,683 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,203 | 915 | $0.00 |
| 1159F | 0% | 6,970 | 5,062 | $0.00 |
25 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 828 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 175 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 207 | $0.00 |
| 3725F | 0% | 254 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 60 | $0.00 |
| 3288F | 0% | 18 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 65 | $0.00 |
| 1100F | 0% | 18 | $0.00 | |
| 1111F | 0% | 743 | $0.00 | |
| 3066F | 0% | 550 | $0.00 | |
| 3008F | 0% | 8,154 | $0.00 | |
| 1036F | 0% | 603 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,727 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 3,220 | $0.00 |
| 4010F | 0% | 1,483 | $0.00 | |
| 1034F | 0% | 357 | $0.00 | |
| 3061F | 0% | 233 | $0.00 | |
| 99385 | 0% | 26 | $0.00 | |
| 99386 | 0% | 12 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 281 | $0.00 |
| 1125F | 0% | 15 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 83 | $0.00 |
| 99406 | 0% | 18 | $0.00 | |
| 90686 | 0% | 67 | $0.00 | |
| 90656 | 0% | 15 | $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 officialWYBLE, KAREN (CEO)
Parent organizationST. MARTIN HOSPITAL, INC.