Hospital
ST Martin Hospital, INC.
ST Martin Hospital, INC. was paid $169K by Medicaid between Aug 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoST MARTIN HOSPITAL, INC.
BREAUX BRIDGE, LA 70517
BREAUX BRIDGE, LA 70517
33aNPI1619469202assigned 05/31/2018
33bProvider typeCritical Access Hospital
28Total paid$169K
24GClaims19,095
24DCodes billed32
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Louisiana
Rank by total paid#28 of 40
Median peer was paid$3.19M
This provider vs. median0.1×
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 | 300 | $4K | |
| 2019 | 2,253 | $45K | |
| 2020 | 10,546 | $57K | |
| 2021 | 5,088 | $45K | |
| 2022 | 220 | $4K | |
| 2023 | 396 | $8K | |
| 2024incomplete | 292 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 3,311 | 2,680 | $80K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 418 | 403 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 1,405 | 915 | $19K |
| 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 | 7.7% | 342 | 313 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.7% | 286 | 277 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 258 | 248 | $9K |
| 99385 | 2.9% | 83 | 82 | $5K | |
| 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 | 2.8% | 85 | 78 | $5K |
| 99386 | 2.7% | 80 | 78 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | 49 | $411.60 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | 19 | $171.62 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14 | 13 | $80.86 |
20 more codes
| 80305 | <1% | 41 | $35.92 | |
| 1126F | 0% | 510 | $0.00 | |
| 1036F | 0% | 736 | $0.00 | |
| 3074F | 0% | 1,497 | $0.00 | |
| 3075F | 0% | 457 | $0.00 | |
| 1031F | 0% | 232 | $0.00 | |
| 3080F | 0% | 328 | $0.00 | |
| 1170F | 0% | 1,618 | $0.00 | |
| 3008F | 0% | 2,516 | $0.00 | |
| 1034F | 0% | 414 | $0.00 | |
| 1111F | 0% | 981 | $0.00 | |
| 3079F | 0% | 1,004 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 55 | $0.00 |
| 4010F | 0% | 54 | $0.00 | |
| 4013F | 0% | 60 | $0.00 | |
| 3078F | 0% | 1,098 | $0.00 | |
| 3077F | 0% | 495 | $0.00 | |
| 4025F | 0% | 99 | $0.00 | |
| 3016F | 0% | 439 | $0.00 | |
| 3725F | 0% | 110 | $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 officialKELLER, SANDRA (VP COMPLIANCE)
Parent organizationST MARTIN HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| University Hospital and Clinics, INC. | Lafayette, LA | $1.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.