Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wendi Defrank, MD Apmc

Wendi Defrank, MD Apmc was paid $314K by Medicaid between Jan 2018 and Feb 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoWENDI DEFRANK, MD APMC
LA PLACE, LA 70068
33aNPI1437194883assigned 06/19/2006
33bProvider typePediatrics Physician
28Total paid$314K
24GClaims10,370
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers

Next to other Pediatrics Physician providers in Louisiana

Rank by total paid#124 of 230
Median peer was paid$429K
This provider vs. median0.7×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20183,480$113K
20193,797$113K
20202,531$65K
2021116$5K
2022322$14K
2023124$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 3,643 3,268 $150K
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 19% 1,029 928 $59K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13% 597 588 $39K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.8% 1,478 1,425 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.3% 637 599 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 197 191 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.1% 700 294 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.9% 587 510 $6K
90472 Immunization administration, each additional vaccine (list separately) 1.3% 224 215 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 16 14 $954.75
99173 <1% 425 409 $583.69
90621 <1% 69 64 $265.74
5 more codes
90686 <1% 509 $190.30
81002 <1% 31 $73.66
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 197 $0.00
90651 0% 14 $0.00
90734 0% 17 $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 officialCOWART, LISA (PRACTICE ADMINISTRATOR)