Clinic
Lafayette General Medical Center INC
Lafayette General Medical Center INC was paid $368K by Medicaid between Oct 2020 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoLAFAYETTE GENERAL MEDICAL CENTER INC
LAFAYETTE, LA 70503
LAFAYETTE, LA 70503
33aNPI1518577030assigned 08/10/2020
33bProvider typeClinic/Center
28Total paid$368K
24GClaims31,142
24DCodes billed38
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Louisiana
Rank by total paid#46 of 112
Median peer was paid$138K
This provider vs. median2.7×
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
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 | |
|---|---|---|---|
| 2020 | 234 | $6K | |
| 2021 | 9,881 | $78K | |
| 2022 | 10,892 | $122K | |
| 2023 | 8,620 | $114K | |
| 2024incomplete | 1,515 | $48K |
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 | 36% | 3,740 | 3,327 | $132K |
| 99223 | Prolong inpt eval add15 m | 23% | 1,526 | 1,289 | $86K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 1,774 | 745 | $61K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 1,966 | 641 | $43K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 429 | 371 | $13K |
| 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 | 3.3% | 233 | 206 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 587 | 536 | $8K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 242 | 136 | $4K |
| 95816 | <1% | 92 | 88 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 739 | 659 | $3K |
| 0124A | <1% | 43 | 37 | $916.98 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | 25 | $895.21 |
26 more codes
| 99205 | Prolong outpt/office vis | <1% | 17 | $488.76 |
| 95819 | <1% | 15 | $488.50 | |
| 99497 | <1% | 79 | $482.32 | |
| 76642 | <1% | 18 | $175.00 | |
| 76937 | <1% | 17 | $72.77 | |
| 1125F | 0% | 1,134 | $0.00 | |
| 3079F | 0% | 1,083 | $0.00 | |
| 3074F | 0% | 1,744 | $0.00 | |
| 4010F | 0% | 386 | $0.00 | |
| 1111F | 0% | 1,696 | $0.00 | |
| 3008F | 0% | 3,879 | $0.00 | |
| 1036F | 0% | 1,630 | $0.00 | |
| 1126F | 0% | 514 | $0.00 | |
| 1034F | 0% | 249 | $0.00 | |
| 3080F | 0% | 135 | $0.00 | |
| 3075F | 0% | 509 | $0.00 | |
| 1159F | 0% | 2,381 | $0.00 | |
| 3288F | 0% | 247 | $0.00 | |
| 3725F | 0% | 1,560 | $0.00 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 317 | $0.00 |
| 1160F | 0% | 526 | $0.00 | |
| 1100F | 0% | 247 | $0.00 | |
| 3077F | 0% | 220 | $0.00 | |
| 3078F | 0% | 1,081 | $0.00 | |
| 91312 | 0% | 29 | $0.00 | |
| 3016F | 0% | 32 | $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 officialGANDY, PATRICK (CEO)
Parent organizationLAFAYETTE GENERAL MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Lafayette General Medical Center INC | Lafayette, LA | $31.02M |
| Acadiana Imaging Services LLC | Lafayette, LA | $318K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.