Physician
SSM Group Practice LLC
SSM Group Practice LLC was paid $12.90M by Medicaid between Jan 2020 and Dec 2024, across 2 billing codes. Its largest line is 95800, — 100% of everything it billed.
33Billing provider infoSSM GROUP PRACTICE LLC
METAIRIE, LA 70002
METAIRIE, LA 70002
33aNPI1659839561assigned 03/10/2019
33bProvider typeSleep Medicine (Family Medicine) Physician
28Total paid$12.90M
24GClaims24,076
24DCodes billed2
24AFirst – last monthJan 2020 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 95800 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 2,007 | $921K | |
| 2021 | 3,659 | $1.90M | |
| 2022 | 5,184 | $3.16M | |
| 2023 | 7,749 | $4.09M | |
| 2024incomplete | 5,477 | $2.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95800 | 100% | 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 | 0% | 117 | 63 | $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 officialLAVIN, THOMAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Egan Nursing Services, INC. | Metairie, LA | $9.20M |
| I.B. Smith Opticians, INC. | Worcester, MA | $66K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.