Clinic
Total Family Medical, LLC
Total Family Medical, LLC was paid $4.69M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoTOTAL FAMILY MEDICAL, LLC
ROBERT, LA 70455
ROBERT, LA 70455
33aNPI1558791905assigned 11/21/2013
33bProvider typeRural Health Clinic/Center
28Total paid$4.69M
24GClaims125,502
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#38 of 160
Median peer was paid$2.26M
This provider vs. median2.1×
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 | 15,194 | $574K | |
| 2019 | 20,995 | $627K | |
| 2020 | 22,615 | $645K | |
| 2021 | 16,123 | $655K | |
| 2022 | 17,162 | $786K | |
| 2023 | 19,870 | $773K | |
| 2024incomplete | 13,543 | $627K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 86% | 49,165 | 31,463 | $4.02M |
| H2020 | Therapeutic behavioral services, per diem | 14% | 11,577 | 5,534 | $641K |
| 99051 | <1% | 2,164 | 1,628 | $23K | |
| 98960 | <1% | 295 | 242 | $108.00 | |
| 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% | 27,665 | 19,315 | $30.86 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,271 | 430 | $8.57 |
| 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 | <1% | 12,035 | 9,295 | $2.84 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,715 | 1,473 | $1.96 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,671 | 1,332 | $1.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 3,494 | 2,466 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 5,785 | 3,178 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 135 | 109 | $0.00 |
20 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,236 | $0.00 |
| 81002 | 0% | 463 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 2,896 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 221 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 95 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 256 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 27 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 111 | $0.00 |
| 80305 | 0% | 57 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 991 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,119 | $0.00 |
| 3008F | 0% | 281 | $0.00 | |
| 87590 | 0% | 58 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 394 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 105 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 55 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 54 | $0.00 |
| 87110 | 0% | 77 | $0.00 | |
| 88174 | 0% | 17 | $0.00 | |
| 99385 | 0% | 17 | $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 officialGAUTREAU, PEGGY (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Total Family Medical, LLC | Robert, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.