Physician
Pontchartrain Bone & Joint Clinic, LTD.
Pontchartrain Bone & Joint Clinic, LTD. was paid $2K by Medicaid between Apr 2024 and Oct 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoPONTCHARTRAIN BONE & JOINT CLINIC, LTD.
METAIRIE, LA 70006
METAIRIE, LA 70006
33aNPI1649351529assigned 10/18/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$2K
24GClaims260
24DCodes billed2
24AFirst – last monthApr 2024 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Louisiana
Rank by total paid#34 of 46
Median peer was paid$10K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 260 | $2K |
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 | 64% | 154 | 103 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 106 | 79 | $867.38 |
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 officialSKETCHLER, JEFFREY (PRESIDENT)