Physician
Pontchartrain Sleep Medicine, LLC
Pontchartrain Sleep Medicine, LLC was paid $391K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoPONTCHARTRAIN SLEEP MEDICINE, LLC
COVINGTON, LA 70433
COVINGTON, LA 70433
33aNPI1588612543assigned 05/04/2006
33bProvider typePulmonary Disease Physician
28Total paid$391K
24GClaims8,505
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Louisiana
Rank by total paid#8 of 27
Median peer was paid$69K
This provider vs. median5.6×
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 | 522 | $38K | |
| 2019 | 686 | $44K | |
| 2020 | 1,096 | $47K | |
| 2021 | 1,132 | $45K | |
| 2022 | 1,827 | $78K | |
| 2023 | 2,156 | $84K | |
| 2024incomplete | 1,086 | $55K |
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 | 25% | 2,807 | 2,420 | $98K |
| 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 | 15% | 1,022 | 893 | $60K |
| 95806 | 13% | 1,346 | 1,112 | $53K | |
| 95811 | 13% | 401 | 378 | $52K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 10% | 269 | 257 | $40K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.5% | 703 | 648 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 1,267 | 1,127 | $31K |
| 99205 | Prolong outpt/office vis | 4.9% | 267 | 236 | $19K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 0% | 423 | 376 | $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 officialDAVIS, LAUREN (MANAGER)