Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Avoyelles Surgical Associates, a Professional Medical LLC

Avoyelles Surgical Associates, a Professional Medical LLC was paid $70K by Medicaid between Jan 2018 and Jan 2021, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 36% of everything it billed.

33Billing provider infoAVOYELLES SURGICAL ASSOCIATES, A PROFESSIONAL MEDICAL LLC
MARKSVILLE, LA 71351
33aNPI1639373889assigned 06/12/2007
33bProvider typeSurgery Physician
28Total paid$70K
24GClaims2,199
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Surgery Physician providers in Louisiana

Rank by total paid#20 of 65
Median peer was paid$28K
This provider vs. median2.5×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,138$45K
2019649$17K
2020377$7K
202135$946.90
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 309 298 $25K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 1,385 1,098 $24K
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 16% 353 325 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.7% 126 114 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3.6% 12 12 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.5% 14 12 $1K

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 officialBORDELON, JAMES (GENERAL SURGEON)