Physician
Family First Medical Clinic
Family First Medical Clinic was paid $210K by Medicaid between Jan 2018 and May 2023, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.
33Billing provider infoFAMILY FIRST MEDICAL CLINIC
PLAQUEMINE, LA 70764
PLAQUEMINE, LA 70764
33aNPI1568581213assigned 03/27/2007
33bProvider typeFamily Medicine Physician
28Total paid$210K
24GClaims12,917
24DCodes billed22
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#153 of 417
Median peer was paid$63K
This provider vs. median3.3×
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 | 928 | $27K | |
| 2019 | 1,376 | $32K | |
| 2020 | 2,184 | $31K | |
| 2021 | 1,580 | $57K | |
| 2022 | 5,187 | $44K | |
| 2023 | 1,662 | $19K |
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 | 95% | 7,356 | 4,269 | $200K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 387 | 84 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 45 | 28 | $2K |
| 99051 | <1% | 117 | 101 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | 43 | $799.52 |
| 99223 | Prolong inpt eval add15 m | <1% | 29 | 28 | $699.65 |
| 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% | 19 | 12 | $695.24 |
| 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% | 29 | 26 | $564.39 |
| 99490 | Ccm add 20min | <1% | 406 | 259 | $339.69 |
| 99050 | <1% | 20 | 16 | $70.90 | |
| 1101F | 0% | 792 | 364 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 603 | 288 | $0.00 |
10 more codes
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 135 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 509 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 932 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 144 | $0.00 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 12 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 941 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 92 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 226 | $0.00 |
| 83037 | 0% | 37 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 20 | $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 officialEDWARDS, ANTONIO (OWNER)