Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CURANA HEALTH OF LOUISIANA LLC

NPI: 1538399704 · BATON ROUGE, LA 70827 · Family Medicine Physician · NPI assigned 07/21/2009

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

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$4.87M
Total Medicaid Paid
821,111
Total Claims
473,140
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date07/21/2009

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,778 $367K
2019 71,852 $416K
2020 82,304 $466K
2021 88,596 $596K
2022 94,601 $908K
2023 235,374 $1.03M
2024 178,606 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 300,995 174,053 $2.58M
99308 Subsequent nursing facility care, per day, straightforward 206,224 120,427 $1.12M
99310 Prolong nursin fac eval 15m 31,091 21,813 $369K
99233 Prolong inpt eval add15 m 8,868 1,921 $258K
99232 Subsequent hospital care, per day, moderate complexity 11,143 2,835 $248K
99307 28,215 21,402 $117K
99497 5,086 4,350 $53K
99305 2,827 2,344 $51K
99223 Prolong inpt eval add15 m 490 419 $25K
90792 Psychiatric diagnostic evaluation with medical services 1,671 1,274 $16K
99239 Hospital discharge day management, more than 30 minutes 221 196 $6K
99304 579 521 $5K
99306 Prolong nursin fac eval 15m 370 323 $4K
99490 Ccm add 20min 7,141 4,783 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 367 85 $3K
99491 Ccm add 20min 4,013 2,684 $3K
99356 1,444 1,190 $2K
99318 332 304 $792.26
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 296 222 $721.22
99357 102 87 $529.80
99358 Prolong nursin fac eval 15m 59 50 $388.12
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 250 202 $347.85
99316 34 29 $251.82
99439 127 82 $0.53
3078F 23,123 11,974 $0.00
1159F 33,622 16,769 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 2,435 1,300 $0.00
1160F 33,604 16,760 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 1,988 1,188 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 16,066 6,692 $0.00
3077F 1,311 739 $0.00
1494F 319 245 $0.00
1124F 601 498 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 18 16 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 15 14 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2,069 1,225 $0.00
3074F 18,445 9,673 $0.00
1126F 5,151 3,178 $0.00
1170F 2,215 1,685 $0.00
1123F 4,999 3,993 $0.00
3008F 2,067 974 $0.00
3079F 3,597 2,114 $0.00
1125F 855 619 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,158 916 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 25,956 15,904 $0.00
3044F 5,597 4,315 $0.00
3075F 4,720 2,983 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 18,785 7,469 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 74 65 $0.00
3080F 222 144 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 134 77 $0.00
99406 20 15 $0.00