Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SSM GROUP PRACTICE LLC

NPI: 1659839561 · METAIRIE, LA 70002 · Sleep Medicine (Family Medicine) Physician · NPI assigned 03/10/2019

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 95800 with only 2 total codes billed. Highly concentrated billing profile.

$12.90M
Total Medicaid Paid
24,076
Total Claims
13,280
Beneficiaries
2
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAVIN, THOMAS (OWNER)
NPI Enumeration Date03/10/2019

Related Entities

Other providers sharing the same authorized official: LAVIN, THOMAS

ProviderCityStateTotal Paid
EGAN NURSING SERVICES, INC. METAIRIE LA $9.20M
I.B. SMITH OPTICIANS, INC. WORCESTER MA $66K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,007 $921K
2021 3,659 $1.90M
2022 5,184 $3.16M
2023 7,749 $4.09M
2024 5,477 $2.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95800 23,959 13,217 $12.90M
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 117 63 $0.00