Medicaid Provider Spending

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

OCHSNER CLINIC LLC

NPI: 1407848443 · BATON ROUGE, LA 70836 · Plastic Surgery Physician · NPI assigned 08/16/2005

$32.26M
Total Medicaid Paid
1,563,476
Total Claims
1,351,438
Beneficiaries
227
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENITEZ, EDUARDO (DIRECTOR)
Parent OrganizationOCHSNER CLINIC LLC
NPI Enumeration Date08/16/2005

Related Entities

Other providers sharing the same authorized official: BENITEZ, EDUARDO

ProviderCityStateTotal Paid
OCHSNER MISSISSIPPI, LLC BAY SAINT LOUIS MS $3.20M
OCHSNER CLINIC LLC MORGAN CITY LA $12K
OCHSNER CLINIC LLC SLIDELL LA $4K
OCHSNER CLINIC, LLC BATON ROUGE LA $4K
OCHSNER CLINIC LLC LAKE CHARLES LA $2K
OCHSNER CLINIC LLC NEW ORLEANS LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,342 $1.75M
2019 59,446 $2.22M
2020 66,793 $2.59M
2021 111,938 $4.35M
2022 419,183 $6.06M
2023 467,871 $7.87M
2024 389,903 $7.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 204,008 183,377 $9.25M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 174,964 143,339 $6.48M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24,931 23,079 $1.99M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21,439 19,242 $1.30M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12,271 11,672 $1.19M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,813 14,059 $995K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 7,412 6,611 $828K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,937 13,649 $743K
76819 Fetal biophysical profile; without non-stress testing 17,891 11,036 $680K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 16,356 14,607 $572K
99215 Prolong outpt/office vis 11,210 9,444 $568K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 854 794 $445K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 7,412 6,872 $402K
99238 Hospital discharge day management, 30 minutes or less 7,222 6,869 $344K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,630 2,178 $313K
93000 20,831 19,534 $308K
93320 7,399 6,604 $297K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,269 4,029 $284K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,900 9,487 $278K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 60,317 52,878 $276K
93325 9,407 8,227 $250K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,866 4,638 $249K
77067 Screening mammography, bilateral, including computer-aided detection 8,693 8,366 $236K
76801 4,852 4,477 $215K
99460 4,915 4,620 $214K
96110 Developmental screening, with scoring and documentation, per standardized instrument 22,893 18,572 $188K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 6,535 6,153 $179K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,046 682 $174K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6,406 5,465 $152K
99232 Subsequent hospital care, per day, moderate complexity 4,161 1,753 $134K
70450 Computed tomography, head or brain; without contrast material 3,017 2,812 $132K
59514 408 373 $117K
76820 2,683 1,368 $112K
90834 Psychotherapy, 45 minutes with patient 3,931 2,214 $112K
99233 Prolong inpt eval add15 m 2,252 1,017 $111K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 656 610 $109K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,568 2,501 $107K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,210 4,596 $95K
59430 1,011 986 $89K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,616 1,261 $84K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,117 1,091 $84K
99205 Prolong outpt/office vis 982 912 $80K
77063 Screening digital breast tomosynthesis, bilateral 6,717 6,450 $80K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,329 1,243 $78K
71046 Radiologic examination, chest; 2 views 11,382 10,869 $70K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,306 1,968 $70K
99385 1,301 1,038 $69K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,750 1,424 $64K
71045 Radiologic examination, chest; single view 13,054 11,668 $59K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,483 1,383 $52K
20610 1,237 1,013 $49K
99223 Prolong inpt eval add15 m 608 497 $46K
54150 313 299 $40K
76830 Ultrasound, transvaginal 1,149 1,094 $38K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 909 813 $36K
95819 597 566 $35K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 913 872 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,429 1,342 $34K
52000 338 322 $31K
95800 155 148 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,996 2,688 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination 634 535 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,092 943 $24K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 688 598 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 99 97 $23K
90792 Psychiatric diagnostic evaluation with medical services 256 230 $22K
59025 Fetal non-stress test 2,303 2,040 $21K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 365 346 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,307 1,212 $17K
93304 370 298 $17K
90791 Psychiatric diagnostic evaluation 309 215 $15K
11721 1,503 1,415 $13K
93244 700 674 $13K
95251 649 524 $10K
90715 330 315 $10K
74018 1,315 1,206 $9K
90686 566 535 $9K
73630 1,185 1,129 $8K
64721 45 39 $8K
99462 317 283 $7K
00731 186 168 $7K
96113 45 37 $7K
99051 913 756 $7K
93242 675 649 $7K
93321 486 399 $7K
73562 897 840 $6K
76821 119 68 $6K
99386 87 81 $6K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 36 36 $6K
95816 93 91 $5K
67028 Intravitreal injection of a pharmacologic agent 146 131 $5K
51798 891 657 $5K
90832 Psychotherapy, 30 minutes with patient 248 135 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 25 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 37 37 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 85 76 $5K
00840 67 51 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 29 26 $4K
99173 2,599 2,128 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 248 225 $4K
64483 34 24 $4K
20611 100 88 $4K
99201 168 162 $4K
88307 71 71 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 14 $4K
82962 1,803 1,352 $4K
71275 Computed tomographic angiography, chest, with contrast material 36 36 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 215 183 $3K
00811 107 93 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 70 69 $3K
73564 399 357 $3K
96112 45 37 $3K
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) 2,466 2,154 $3K
99417 Prolong home eval add 15m 90 77 $3K
99404 67 57 $3K
99490 Ccm add 20min 771 765 $3K
92134 883 767 $3K
00170 Anesthesia for intraoral procedures, including biopsy 45 42 $3K
73030 417 386 $3K
73130 359 336 $3K
99381 37 36 $3K
99239 Hospital discharge day management, more than 30 minutes 62 54 $3K
90837 Psychotherapy, 53 minutes with patient 64 36 $2K
72100 307 300 $2K
81025 547 397 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 95 80 $2K
00126 59 50 $2K
74019 222 211 $2K
81003 1,537 1,352 $2K
62323 12 12 $2K
76642 71 63 $2K
31575 32 29 $1K
93227 74 68 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 16 16 $1K
99222 Initial hospital care, per day, moderate complexity 14 12 $1K
95806 24 24 $1K
73610 176 163 $1K
77080 107 103 $1K
73560 183 163 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 66 36 $1K
36415 Collection of venous blood by venipuncture 787 732 $1K
0064A 82 53 $1K
27096 13 13 $1K
00813 32 25 $1K
93295 39 38 $1K
92551 150 146 $1K
93016 128 125 $1K
99383 12 12 $994.52
90656 54 51 $978.00
01810 46 29 $933.45
84165 407 386 $908.14
3044F 13,800 12,094 $890.00
90682 14 14 $861.65
99284 Emergency department visit for the evaluation and management, high severity 15 12 $821.30
0004A 40 23 $817.38
73110 92 86 $781.65
99350 Prolong home eval add 15m 16 16 $767.32
94060 69 61 $729.52
93018 128 125 $715.27
99451 48 46 $654.45
99349 16 14 $640.02
0011A 104 66 $622.81
0002A 48 33 $616.81
94729 41 37 $615.99
90836 13 13 $590.54
71250 15 14 $578.38
69210 26 24 $561.96
0001A 57 46 $509.83
94010 95 84 $507.23
92015 Determination of refractive state 4,563 3,736 $482.18
90961 41 39 $474.44
99497 67 40 $474.37
93971 13 12 $473.64
94618 74 63 $458.60
94726 29 25 $404.34
93970 12 12 $404.13
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 15 14 $397.45
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 12 $365.25
97760 18 17 $340.34
77065 Tomosynthesis, mammo 14 13 $329.64
86334 90 84 $328.60
99442 24 19 $324.97
72040 44 39 $323.96
81001 184 152 $249.36
76770 13 12 $209.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg 358 337 $202.42
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17 13 $185.76
99459 25 14 $181.28
97803 12 12 $169.74
72110 13 12 $149.84
73502 14 14 $139.52
92587 14 12 $129.61
99406 20 13 $101.54
91200 13 13 $96.84
99422 31 29 $90.64
99441 18 14 $83.44
J3490 Unclassified drugs 32 25 $82.50
99152 151 123 $70.04
96161 27 27 $58.21
90785 38 15 $50.96
J1071 Injection, testosterone cypionate, 1 mg 39 25 $40.50
81000 26 24 $38.26
1159F 256,785 222,374 $19.12
85060 15 15 $14.01
1160F 171,109 148,776 $10.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,280 1,069 $9.18
J8499 Prescription drug, oral, non chemotherapeutic, nos 16 13 $1.81
3079F 23,290 20,919 $0.37
96127 24 18 $0.30
3078F 48,786 42,742 $0.27
3074F 64,162 55,939 $0.01
3008F 113,210 97,859 $0.00
3075F 8,968 8,136 $0.00
4010F 11,350 9,792 $0.00
3080F 2,210 1,953 $0.00
3066F 1,470 1,260 $0.00
3061F 399 351 $0.00
91301 59 59 $0.00
1111F 45 36 $0.00
2023F 62 52 $0.00
0012A 30 18 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
3072F 31 26 $0.00
3077F 3,486 3,160 $0.00
91300 132 126 $0.00
0298T 16 16 $0.00
3046F 12 12 $0.00