Physician
ST. Marygrace Family Practice, LLC
ST. Marygrace Family Practice, LLC was paid $184K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoST. MARYGRACE FAMILY PRACTICE, LLC
OPELOUSAS, LA 70570
OPELOUSAS, LA 70570
33aNPI1639301732assigned 08/23/2009
33bProvider typeFamily Medicine Physician
28Total paid$184K
24GClaims53,617
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#161 of 417
Median peer was paid$63K
This provider vs. median2.9×
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 | 10,066 | $30K | |
| 2019 | 9,718 | $40K | |
| 2020 | 8,004 | $41K | |
| 2021 | 8,132 | $22K | |
| 2022 | 9,514 | $30K | |
| 2023 | 5,554 | $11K | |
| 2024incomplete | 2,629 | $9K |
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 | 84% | 10,165 | 9,119 | $154K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,935 | 1,771 | $24K |
| 82962 | 1.1% | 4,645 | 3,904 | $2K | |
| 90756 | <1% | 588 | 539 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | 59 | $808.50 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 119 | 107 | $769.67 |
| 99406 | <1% | 450 | 364 | $381.84 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 18 | 12 | $85.47 |
| 80305 | <1% | 62 | 60 | $23.96 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,258 | 1,962 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 1,399 | 1,247 | $0.00 |
| 3079F | 0% | 971 | 791 | $0.00 |
13 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 6,386 | $0.00 |
| 3074F | 0% | 1,737 | $0.00 | |
| 3080F | 0% | 625 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 513 | $0.00 |
| 3075F | 0% | 378 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 80 | $0.00 |
| 3044F | 0% | 17 | $0.00 | |
| 3078F | 0% | 1,731 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 3,191 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,778 | $0.00 |
| 3077F | 0% | 1,314 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 10,174 | $0.00 |
| 90661 | 0% | 21 | $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 officialTINUBU, ADENIKE (OWNER / OPERATOR / PHYSICIAN)