Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gulf South Eye Associates Apmc

Gulf South Eye Associates Apmc was paid $92K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 39% of everything it billed.

33Billing provider infoGULF SOUTH EYE ASSOCIATES APMC
METAIRIE, LA 70006
33aNPI1548227986assigned 04/28/2006
33bProvider typeSpecialist
28Total paid$92K
24GClaims5,714
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in Louisiana

Rank by total paid#106 of 228
Median peer was paid$60K
This provider vs. median1.5×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018999$15K
2019862$11K
2020651$12K
20211,105$17K
2022826$14K
2023920$15K
2024incomplete351$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 39% 1,511 1,274 $36K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39% 883 819 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 577 499 $14K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.2% 93 89 $6K
92083 <1% 15 15 $314.93
92025 <1% 13 12 $189.97
92133 <1% 12 12 $92.51
92015 Determination of refractive state <1% 2,610 2,284 $73.61

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 officialBOYLE, JOHN (OWNER/PRESIDENT)
Same official

Other billing entities under BOYLE, JOHN

Full network →
ProviderLocationPaid
Twin Rivers Developmental Supports INCArkansas City, KS$24.63M
Boyle Eye Specialists PCScranton, PA$183K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.