Clinic
Family Healthcare Clinic, Apmc
Family Healthcare Clinic, Apmc was paid $68K by Medicaid between Jan 2018 and Jan 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoFAMILY HEALTHCARE CLINIC, APMC
SAINT MARTINVILLE, LA 70582
SAINT MARTINVILLE, LA 70582
33aNPI1437341278assigned 08/15/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$68K
24GClaims1,767
24DCodes billed8
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#62 of 92
Median peer was paid$157K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 1,214 | $49K | |
| 2019 | 536 | $18K | |
| 2020 | 17 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 90% | 1,219 | 1,024 | $61K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.6% | 89 | 64 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 28 | 27 | $1K |
| 99406 | <1% | 38 | 34 | $57.16 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 251 | 228 | $0.00 |
| 1159F | 0% | 50 | 45 | $0.00 | |
| 1160F | 0% | 48 | 45 | $0.00 | |
| 1125F | 0% | 44 | 40 | $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 officialWILTZ, DANIEL (PRESIDENT)