Physician
Premium Care Medical Center, LLC
Premium Care Medical Center, LLC was paid $690K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoPREMIUM CARE MEDICAL CENTER, LLC
NEW ORLEANS, LA 70114
NEW ORLEANS, LA 70114
33aNPI1477995231assigned 07/22/2013
33bProvider typePediatrics Physician
28Total paid$690K
24GClaims15,330
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#98 of 230
Median peer was paid$429K
This provider vs. median1.6×
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 | 2,060 | $98K | |
| 2019 | 2,071 | $91K | |
| 2020 | 1,946 | $86K | |
| 2021 | 2,033 | $96K | |
| 2022 | 2,215 | $102K | |
| 2023 | 2,065 | $94K | |
| 2024incomplete | 2,940 | $124K |
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 | 66% | 8,745 | 7,250 | $454K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 6,056 | 5,098 | $221K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 125 | 119 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 53 | 53 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 20 | 13 | $949.39 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | 12 | $822.82 |
| 0064A | <1% | 26 | 26 | $383.72 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 13 | $253.26 |
| 96160 | <1% | 56 | 48 | $2.76 | |
| 3008F | 0% | 85 | 79 | $0.00 | |
| 3074F | 0% | 14 | 13 | $0.00 | |
| 3511F | 0% | 121 | 107 | $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 officialDENNAR, PRINCESS (CEO/MANAGING PARTNER)