Fairbanks, John

Fairbanks, John was paid $414K by Medicaid between Jan 2018 and Dec 2021, across 22 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 30% of everything it billed.

33Billing provider infoFAIRBANKS, JOHN
VIDALIA, LA 71373

33aNPI1669491288assigned 07/18/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$414K

24GClaims8,576

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Louisiana

Rank by total paid#8 of 46

Median peer was paid$10K

This provider vs. median40×

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	939	$35K
2019	1,298	$43K
2020	3,111	$162K
2021	3,228	$174K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	30%	2,156	2,054	$124K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	2,106	1,966	$81K
L0648	Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	12%	47	45	$48K
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	10%	741	703	$43K
72110		7.3%	962	932	$30K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.6%	476	462	$27K
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	4.2%	194	192	$17K
72170		3.2%	806	781	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	283	272	$7K
20611		1.3%	87	84	$5K
72040		<1%	188	181	$4K
72052		<1%	93	92	$4K

10 more codes

62323		<1%	28	$3K
73030		<1%	158	$3K
99205	Prolong outpt/office vis	<1%	13	$2K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed	<1%	26	$1K
73502		<1%	35	$740.22
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	12	$521.80
73564		<1%	14	$342.86
73562		<1%	14	$280.28
73565		<1%	14	$263.51
J1030	Injection, methylprednisolone acetate, 40 mg	0%	123	$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.