Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › HAMMOND › NORTH OAKS PHYSICIAN GROUP, LLC

NORTH OAKS PHYSICIAN GROUP, LLC

NPI: 1427035211 · HAMMOND, LA 70403 · Multi-Specialty Clinic/Center · NPI assigned 12/22/2005

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

Authorized official ANDERSON, MARK controls 11+ related entities in our dataset. Read more

$7.29M
Total Medicaid Paid
587,748
Total Claims
500,075
Beneficiaries
167
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, MARK (CFO)
NPI Enumeration Date12/22/2005

Related Entities

Other providers sharing the same authorized official: ANDERSON, MARK

ProviderCityStateTotal Paid
NORTH OAKS MEDICAL CENTER, LLC HAMMOND LA $37.61M
NORTH OAKS MEDICAL CENTER, LLC HAMMOND LA $18.22M
ST. FRANCIS MEDICAL GROUP, LLC GREENWOOD IN $9.92M
NORTH OAKS MEDICAL CENTER, LLC HAMMOND LA $4.17M
SPOKANE SCHOOL DISTRICT #81 SPOKANE WA $3.82M
NORTH OAKS PHYSICIAN GROUP, LLC HAMMOND LA $1.67M
NORTH OAKS MEDICAL CENTER, LLC HAMMOND LA $1.59M
R HUTTO OD PLLC BAYTOWN TX $199K
MOUNTAIN LAND PERFORMANCE LC BILLINGS MT $32K
ANDERSON JORE COUNSELING PC. GRAND RAPIDS MN $20K
UNIVERSITY GASTROENTEROLOGY, PC KNOXVILLE TN $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 97,408 $1.11M
2019 123,367 $1.14M
2020 107,533 $1.16M
2021 112,701 $1.50M
2022 87,643 $1.44M
2023 37,458 $528K
2024 21,638 $424K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54,673 49,975 $1.75M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,423 50,496 $1.57M
99232 Subsequent hospital care, per day, moderate complexity 22,633 10,258 $467K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,009 5,709 $440K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,865 8,334 $392K
99233 Prolong inpt eval add15 m 9,137 5,006 $358K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,337 7,797 $349K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,969 1,278 $258K
90792 Psychiatric diagnostic evaluation with medical services 4,495 3,896 $181K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 38,247 29,889 $160K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,109 1,066 $146K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,971 4,080 $136K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,573 2,458 $92K
31237 385 292 $79K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,170 3,730 $73K
88307 1,874 1,462 $64K
20610 2,193 1,902 $57K
62323 347 319 $48K
95886 580 554 $42K
51798 6,742 5,868 $42K
69210 1,539 1,321 $37K
88304 2,525 1,975 $30K
92567 2,705 2,494 $27K
31231 369 311 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,295 1,275 $24K
99215 Prolong outpt/office vis 731 661 $24K
88312 1,497 902 $23K
0001A 1,295 615 $22K
92587 991 835 $22K
17110 367 349 $21K
42830 183 177 $21K
99223 Prolong inpt eval add15 m 426 386 $16K
99205 Prolong outpt/office vis 274 257 $15K
92557 605 547 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 573 489 $14K
0002A 1,086 514 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 251 243 $13K
94060 1,278 1,232 $11K
64493 81 66 $11K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 222 218 $10K
94726 1,243 1,196 $10K
94729 1,273 1,232 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 400 375 $10K
31575 244 223 $10K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 429 344 $9K
95909 101 98 $8K
81003 9,150 7,601 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 157 146 $7K
31000 49 48 $6K
72110 284 265 $6K
27096 51 51 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 213 189 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg 80 76 $5K
11102 115 108 $5K
64635 17 16 $5K
64494 54 44 $4K
88342 287 243 $4K
64721 30 25 $4K
99497 104 89 $3K
36415 Collection of venous blood by venipuncture 2,437 2,241 $3K
73564 234 175 $3K
99238 Hospital discharge day management, 30 minutes or less 174 169 $3K
81025 569 522 $3K
99239 Hospital discharge day management, more than 30 minutes 119 106 $3K
95816 98 91 $3K
93016 238 234 $3K
95908 43 42 $3K
71046 Radiologic examination, chest; 2 views 186 172 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 463 307 $2K
75574 26 25 $2K
93880 47 43 $2K
20550 168 89 $2K
99221 58 55 $2K
0071A 31 31 $2K
62321 14 14 $2K
93018 252 247 $2K
99222 Initial hospital care, per day, moderate complexity 150 121 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 39 $2K
64636 13 13 $2K
20526 86 58 $2K
93298 137 130 $2K
99498 39 39 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 373 220 $1K
93000 215 195 $1K
95251 86 82 $1K
0072A 32 16 $988.48
92579 31 26 $825.15
99385 20 16 $813.47
80305 111 98 $807.08
88173 29 24 $757.36
73560 75 71 $754.58
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12 12 $709.40
99442 54 46 $654.13
76819 Fetal biophysical profile; without non-stress testing 31 25 $641.30
88302 79 58 $635.51
30210 12 12 $616.44
88341 16 14 $595.40
99447 195 86 $594.87
11100 14 14 $583.13
92555 67 56 $571.87
95819 12 12 $570.96
72040 39 38 $546.32
0004A 34 33 $506.74
73030 43 39 $478.18
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 45 44 $473.46
72100 28 28 $405.06
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 172 149 $373.17
76801 13 13 $341.28
99152 264 210 $338.96
92582 14 12 $337.88
A4590 Special casting material (e.g., fiberglass) 25 14 $337.82
94727 56 54 $311.92
88172 29 24 $295.98
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 16 15 $277.58
99226 16 13 $230.32
0031A 18 12 $212.62
99443 12 12 $212.11
76830 Ultrasound, transvaginal 13 12 $206.65
99441 29 28 $204.02
94618 28 28 $202.89
3044F 4,476 3,965 $160.08
90686 14 12 $144.94
99446 72 60 $139.04
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 13 12 $138.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $104.35
83036 Hemoglobin; glycosylated (A1C) 38 38 $102.19
73130 16 12 $95.63
73562 16 12 $88.71
90688 16 16 $71.72
J1030 Injection, methylprednisolone acetate, 40 mg 79 45 $67.52
91300 1,033 849 $62.08
99406 189 163 $55.59
92134 13 13 $45.84
85060 45 39 $29.40
99407 30 25 $21.65
92133 12 12 $18.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 180 166 $14.28
3078F 17,012 15,174 $11.29
3045F 66 65 $10.02
3074F 14,451 12,898 $8.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 17 $7.71
J1040 Injection, methylprednisolone acetate, 80 mg 29 27 $7.64
J1885 Injection, ketorolac tromethamine, per 15 mg 26 24 $6.00
3075F 3,906 3,579 $2.83
0502F 404 304 $2.71
3079F 2,430 2,279 $1.67
3077F 1,498 1,401 $1.43
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 24 16 $0.46
3080F 186 173 $0.15
3046F 206 187 $0.08
3288F 70,546 63,082 $0.00
1160F 10,653 8,646 $0.00
1159F 17,607 14,040 $0.00
3725F 188 178 $0.00
2028F 111 107 $0.00
92015 Determination of refractive state 19 17 $0.00
0003A 30 18 $0.00
1125F 30,497 26,874 $0.00
1126F 56,469 50,062 $0.00
3008F 29,378 26,232 $0.00
1170F 41,600 37,341 $0.00
3061F 1,372 1,184 $0.00
1111F 2,296 2,119 $0.00
91307 76 54 $0.00
3060F 69 57 $0.00
4037F 13 13 $0.00
G0008 Administration of influenza virus vaccine 27 27 $0.00