West State Orthopedics & Sport Medicine
West State Orthopedics & Sport Medicine was paid $23K by Medicaid between Nov 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoWEST STATE ORTHOPEDICS & SPORT MEDICINE
LEESVILLE, LA 71446
LEESVILLE, LA 71446
33aNPI1639376031assigned 06/28/2007
33bProvider typeSpecialist
28Total paid$23K
24GClaims7,774
24DCodes billed18
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#143 of 228
Median peer was paid$60K
This provider vs. median0.4×
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 | 32 | $0.00 | |
| 2019 | 2,398 | $7K | |
| 2020 | 1,181 | $4K | |
| 2021 | 618 | $3K | |
| 2022 | 747 | $2K | |
| 2023 | 1,222 | $3K | |
| 2024incomplete | 1,576 | $3K |
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 | 72% | 3,994 | 3,474 | $16K |
| 99358 | Prolong nursin fac eval 15m | 13% | 181 | 170 | $3K |
| 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 | 6.1% | 205 | 172 | $1K |
| 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 | 4.4% | 74 | 64 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 376 | 327 | $567.03 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 251 | 237 | $365.94 |
| 96136 | <1% | 55 | 50 | $139.61 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 14 | $84.93 |
| 96130 | <1% | 18 | 18 | $29.58 | |
| 80305 | <1% | 290 | 251 | $22.44 | |
| 94760 | <1% | 15 | 13 | $1.46 | |
| 1101F | 0% | 50 | 46 | $0.00 |
6 more codes
| 1006F | 0% | 143 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 653 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 1,314 | $0.00 |
| 72110 | 0% | 44 | $0.00 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 82 | $0.00 |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 15 | $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 officialJENNINGS, ANTHONY (OFFICE MANAGER)